registration for children's and youth RE program

Please fill out this form and click submit.
Photo/Video Permission

Students must have parental permission to be photographed/videotaped and to appear in any UUFCO publications and on the UUFCO web site. No student’s name, street address, email address, or phone number will be published.

RE Program Participation

I/We, being the legal parent(s)/guardian(s) of do hereby give permission to UUFCO for said child to participate in the RE Program and related fieldtrips during the 2016-17 church year. I/We do hereby release and discharge UUFCO from any liability of claim or cause of action that I may now have, or may have in the future, as a result of any injuries received by the said child(ren) while s/he/they participates in any activities and/or fieldtrips. Furthermore, in the event of an accident, I understand that an attempt will be made to contact me at the phone numbers provided on the Registration Form. If the emergency contact, or I, cannot be reached in time, I hereby authorize the administration of emergency medical aid to my child(ren). I agree to accept financial responsibility for any and all emergency medical care so provided.

Description

Please fill out this form and click submit.