2023-2024 RELIGIOUS EDUCATION REGISTRATION

Thank you for your interest in registering for the 2023-2024 RE Program! The registration fee per child for the program year is $100. Please complete the information below and submit payment prior to submitting your registration. If you have any questions or feedback, please contact Val Ridenour, Director of Religious Education and Membership, at vridenour@unitytemple.org.

Parent/Guardian Name *

Parent/Guardian #2 Name

Parent/Guardian Mailing Address: *

Parent/Guardian #2 Mailing Address:Leave blank if the same as Parent/Guardian #1

Parent/Guardian Email Address *

Parent/Guardian #2 Email Address

Parent/Guardian Phone *

Parent/Guardian #2 Phone

PARENT/GUARDIAN - PLEASE TELL US YOUR STATUS IN THE CONGREGATION: *MemberNon-Member

PARENT/GUARDIAN #2 - PLEASE TELL US YOUR STATUS IN THE CONGREGATION:MemberNon-Member

CHILDREN'S INFORMATION

Include your child's information in the fields below, including any information about allergies and special needs. Please note, this registration form can only accommodate up to four children. If you have additional children you would like to register, please submit an additional registration form.

Child Name *

Child Date of Birth *

What grade will your child be attending? *

ARE YOU REQUESTING A SCHOLARSHIP? *YesNoScholarships may be available for those who need financial assistance. If you are requesting a scholarship for a child, Val Ridenour will be in touch with you after you submit the registration form.

We enjoy using pictures of our children in our church literature, displays, and website. If you do NOT wish to have your child's picture used in such a way, please indicate any restrictions here. Names will not be put on the website. (Blank indicates okay.)

Please list any additional allergies not listed above:

Is there anything about your child's health, learning style, life circumstances or behavior that would be helpful for us to know?

DO YOU HAVE ANOTHER CHILD YOU WOULD LIKE TO REGISTER? *YesNo

Child #2 Name *

Child #2 Date of Birth *

Child #2 - What grade will your child be attending? *

CHILD #2 - ARE YOU REQUESTING A SCHOLARSHIP? *YesNoScholarships may be available for those who need financial assistance. If you are requesting a scholarship for a child, Val Ridenour will be in touch with you after you submit the registration form.

Child #2 - We enjoy using pictures of our children in our church literature, displays, and website. If you do NOT wish to have your child's picture used in such a way, please indicate any restrictions here. Names will not be put on the website. (Blank indicates okay.)

Child #2 - Please list any additional allergies not listed above:

Child #2 - Is there anything about your child's health, learning style, life circumstances or behavior that would be helpful for us to know?

DO YOU HAVE ANOTHER CHILD YOU WOULD LIKE TO REGISTER? *YesNo

Child #3 Name *

Child #3 Date of Birth *

Child #3 - What grade will your child be attending? *

CHILD #3 - ARE YOU REQUESTING A SCHOLARSHIP? *YesNoScholarships may be available for those who need financial assistance. If you are requesting a scholarship for a child, Val Ridenour will be in touch with you after you submit the registration form.

Child #3 - We enjoy using pictures of our children in our church literature, displays, and website. If you do NOT wish to have your child's picture used in such a way, please indicate any restrictions here. Names will not be put on the website. (Blank indicates okay.)

Child #3 - Please list any additional allergies not listed above:

Child #3 - Is there anything about your child's health, learning style, life circumstances or behavior that would be helpful for us to know?

DO YOU HAVE ANOTHER CHILD YOU WOULD LIKE TO REGISTER? *YesNo

Child #4 Name *

Child #4 Date of Birth *

Child #4 - What grade will your child be attending? *

CHILD #4 - ARE YOU REQUESTING A SCHOLARSHIP? *YesNoScholarships may be available for those who need financial assistance. If you are requesting a scholarship for a child, Val Ridenour will be in touch with you after you submit the registration form.

Child #4 - We enjoy using pictures of our children in our church literature, displays, and website. If you do NOT wish to have your child's picture used in such a way, please indicate any restrictions here. Names will not be put on the website. (Blank indicates okay.)

Child #4 - Please list any additional allergies not listed above:

Child #4 - Is there anything about your child's health, learning style, life circumstances or behavior that would be helpful for us to know?

VOLUNTEER OPPORTUNITIES

Our RE Program is almost entirely dependent upon the gifts of our volunteers. We will be expecting all parents / guardians of preschool through 8th graders to share their presence in our classrooms as assistants. In addition, there are other ways to offer your talents and presence with our young people. Please indicate your preferences below:

ADDITIONAL RE VOLUNTEER OPPORTUNITIES:

CLASS LEADER: Takes responsibility for teaching class approximately twice a month and facilitates communication between class and parents.RE COMMITTEE: Meets monthly to monitor and discuss all aspects of Religious Education Programming; classroom experience requiredPARTY PLANNER: Organize one social activity for classroom groupSPECIAL PROJECTS/EVENTS: Help with faith in action projects, pageant, etc. OR willing to share interest, passion or talent (indicate any specifics below)

RE COVENANT

RE PROGRAM REGISTRATION PAYMENT

The total payment due for the registration today is noted below. Please use the links below to select your payment preference. Payments are processed using the UTUUC PayPal account. If you requested that your child receive a scholarship and there is no payment due noted below, then no payment is due at this time.

Total Cost of Registration Due Today:If you requested a scholarship for a child, no registration payment is due today for that child and Val Ridenour will be in touch abut next steps.

2023-2024 RELIGIOUS EDUCATION REGISTRATION

DOES YOUR CHILD HAVE ANY ALLERGIES OR DIETARY RESTRICTIONS?

CHILD #2 - DOES YOUR CHILD HAVE ANY ALLERGIES OR DIETARY RESTRICTIONS?

CHILD #3 - DOES YOUR CHILD HAVE ANY ALLERGIES OR DIETARY RESTRICTIONS?

CHILD #4 - DOES YOUR CHILD HAVE ANY ALLERGIES OR DIETARY RESTRICTIONS?

CLASSROOM PREFERENCE(S) FOR VOLUNTEERING (SELECT MULTIPLE IF INTERESTED):

ADDITIONAL RE VOLUNTEER OPPORTUNITIES: