Family Registration Form

When to register

We invite families to attend classes a few times before registering. If you are visiting, please stop by the Families desk to check in and learn about the classes for your children and youth. Once you feel this congregation is a community where you want to stay for a while, please register by completing the form below.

children examining a geode

Date

Our program year runs from July 1 through June 30. During April, May, and June you can choose whether the information you submit applies to the remainder of the current program year or the next one. This registration is for the

Current year which ends on June 30, 2018
Next year which runs from July 1, 2018 to June 30, 2019

Family information

Contacts



       



       


   

Emergency contact
Name
Cell phone

Health care and insurance information




Children and youth treated by this doctor




Children and youth treated by this doctor:

If your children and youth are covered by medical insurance, please tell us about the policy.
Name of the person holding the policy
Insurance company
Policy #
Group #
Phone number from the card

Additional family information

Please provide any family information that may be helpful to us, such as a change to a family situation or anything else you want us to know about your family.

From time to time we post photos and videos from church classes and events to our brochures, website or other printed or online media.
We may publish images and videos of your children and youth in printed and online media.

Infant to Grade 8

 

     

Does this child have any allergies? Please tell us about any allergies that your child might encounter in our programs. The allergens might include foods, environmental elements, latex, or bee stings. Is there an allergy protocol, such as an Epi-pen? Is this child allergic to any drugs or medications? In the case of an emergency, this information might be shared with emergency medical personnel.

Does this child need special accommodations for behavioral or other issues in order to fully participate in our programs? If so, please tell us.

Do you have another child to register?

Youth from Grade 9 to 12

By participating in our youth programs, youth agree to abide by the rules and policies of EUUC, and by the Youth Group Covenant. Failure to follow these agreements and policies may result in the youth being removed from the program.

The youth and parents understand and agree to the following:

  • Youth group members will be respectful of other youth and other members of the EUUC community, and will abide by the EUUC Covenant of Healthy Relations.
  • Youth will be respectful of the physical property of the church.
  • No smoking, drugs or alcohol, or being under the influence of such substances, are permitted at youth group events, on or off site.
  • No violence of any kind will be tolerated — physical or verbal.
  • No weapons of any kind are allowed.
  • No sexual activity or exclusive affection are permitted during youth group meetings and events.



   




Does this youth have any allergies? Please tell us about any allergies that your youth might encounter in our programs. The allergens might include foods, environmental elements, latex, or bee stings. Is there an allergy protocol, such as an Epi-pen? Is this youth allergic to any drugs or medications? In the case of an emergency, this information might be shared with emergency medical personnel.




Do you have another youth to register?

Volunteering

Our programs for children and youth depend on many dedicated parents, guardians and other volunteers. Each family that has students enrolled in our program is asked to volunteer a minimum of ten hours over the course of the program year (Sept-June). You do not need to volunteer in your child’s classroom—there are many other ways to support our program.

Each year we ask that you look over the volunteer positions below and let us know which ones interest you.

Toddler Room Helper

Do you love wee ones?  Help out 1-2 times per month with our toddlers, assisting our paid childcare provider.
Name

              

Teaching and Advising

Classroom helper

Provide assistance to our Lead Teachers on Sunday mornings, helping with activities, set up and clean up, snack, games, and general classroom support.  This is a one and a half hour commitment, on Sunday mornings, once every 4-6 weeks.

Classroom Support Person

I would like to support my child's class (could include craft preparation, bringing snacks, help with special projects, etc.)

Arts and Worship Volunteer

Do you have an artistic or crafty side, an interest in theater and worship arts, or want to learn some of these crafts? Help with Chalice Chapel Sundays (first Sunday of every month) and special multi-generational worship services, 3-4 times/year.

Social Media and Communication Volunteer

Do you know your way around Twitter, Instagram, and emerging social media forms? Help us reach out to a wider circle. Commitment of 3-4 hours/month.

Family Ministry Team Member

Help create multi-generational events and support our family ministry program.

Already signed up to teach or volunteer?

If you already signed up to teach or volunteer in the children or youth programs, please tell us in the Note box below.

Note

Please ask any questions or tell us anything else you would like us to know.

Thank you for sharing your gifts with our children and youth!

Parental Agreements

Read

I grant Edmonds Unitarian Universalist Congregation all authority and permissions indicated on these forms by my selections. I understand that all authority and permission granted here under shall be valid and enforceable until specifically rescinded in writing by the persons signing the form, or by the withdrawal of the program registration of my child, youth, or ward.

In accordance with the Uniform Electronic Transactions Act, I certify that by typing my name on this electronic record, I am supplying my electronic signature with the intent to sign this agreement and agree to its terms.



Weekly Family Email

I would like to receive the weekly email update about current programming and other special announcements. (If you are already subscribed, you do not need to check the box. You can unsubscribe from the link in the footer of the weekly messages.)

Are you human or a spambot?

Please do a little math to show us you are human and not a spambot scheming to sell us something.

2 + 4 =      

Questions?

Contact Rev. Cecilia Kingman, Minister for Families and Faith Development