Total number of parents/guardians
- Select - 1 2 3
Total number of children/youth
- Select - 1 2 3 4
First Child/Youth Information:
Month Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31
Year 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021
School Grade as of September 2019
- Select - Pre-K Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade
Hobbies and Interests of Child
- None - Ovo-vegetarian (diet includes eggs but not dairy products) Lacto-vegetarian (diet includes dairy products but not eggs) Ovo-lacto vegetarian (diet includes both eggs and dairy products) Vegan, or strict vegetarian (diet excludes all animal products: eggs, dairy, honey, etc.) Pescetarian (diet has been described as "fish but no other meat") Pollo-pescetarian, which includes poultry and fish, or "white meat" only
Please check all that apply
If you responded to the last two questions, what are the best communication and teaching styles for your child?
Conference with DRE
Would you like the Director of Religious Education to contact you for a conversation regarding your child's needs?
Publicity Consent - Photographs
Images, including individual and group photographs will not be used in publications created by/for UUCR without the permission of the parent/guardian. This pertains to images used on the uucr.org website, email correspondence, congregational brochures/posters and on bulletin boards located in the church buildings.
Answering "Yes" means you grant permission for photos of your child taken during UUCR events/activities to be published on the church website, church-only emails, and congregational brochures/posters or in the church building. No names will be attached.