Children's and Youth's R.E. Registration Form

Registration form

Thank you for your interest! Your information will be kept confidential and unneeded info will be destroyed. If you have any questions please contact our DSE.

If you are registering for regular Children’s and Youth’s Sunday programs please also fill in these forms:

Welcome !
What program are you interested in?*
Date:
MM slash DD slash YYYY

Your name:
First Last
Relationship and guardianship to child/ren:

Phone:
Email:

Address:
Street Address Address Line 2 City Province Postal Code

Alternate Contact Person:
First Last
Children's details
Child / Youth Name:
First Last
Birth Date:
Month
Day
Year

Grade:

Child / Youth Name:
First Last
Birth Date:
Month
Day
Year

Grade:

Other children? DOB, Grade.

Special Interests:
Allergies / Medical Conditions:
For UU members only - Ways in which I can help:
Bringing snacks
Leader's helper
Leading Spiritual Exploration classes
Willing to serve on the YPSE committee
Other
Waiver: I absolve the paid and volunteer staff of The Comox Valley Unitarian Fellowship of any liability in the event of any injury to my child.
I agree to the terms of the waiver
Captcha
Email
This field is for validation purposes and should be left unchanged.

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Comox Valley Unitarian Fellowship

Children's and Youth's R.E. Registration Form

Welcome !

Children's details

Comox Valley Unitarian Fellowship

250 Beach Drive, Comox, B.C. V9M 1P9

250 702 9167