Religious Explorers Registration Form

Parent or Guardian 1: *

Address: *

Phone - day : *

Phone- evening:

E-mail address: *

May we add your e-mail to the e-newsletter The FUS FLASH?:

Parent or Guardian 2:

Address for 2:

Phone - day for 2:

Phone - evening for 2:

E-mail address for 2:

May we add your e-mail to the e-newsletter The FUS FLASH ( for 2)?:

Child's name (1): *

Child's Age (1): *

Birthdate (1): *

Grade in school (1): *

Grade for fall 2011 OR nursery (6 weeks - 2 yrs) OR Preschool (over 2 yrs)

Child's name (2):

Child's Age (2):

Birthdate (2):

Grade in school (2):

Grade for fall 2011 OR nursery (6 weeks - 2 yrs) OR Preschool (over 2 yrs)

Child's name (3):

Child's Age (3):

Birthdate (3):

Grade in school (3):

Grade for fall 2011 OR nursery (6 weeks - 2 yrs) OR Preschool (over 2 yrs)

Child's name (4):

Child's Age (4):

Birthdate (4):

Grade in school (4):

Grade for fall 2011 OR nursery (6 weeks - 2 yrs) OR Preschool (over 2 yrs)

Please tell us any information about your child(ren) that will help make Sunday School a successful experience for them:

By submitting this form, I give permission for my child(ren) in the Religious Explorers Program to go on field trips. Parents will be notified in advance of any field trips. I also give my permission to the teachers to authorize emergency medical treatment if necessary.

Please indicate if you will allow pictures of your child(ren) on the FUS website or other publicity . Names, either first or last names, will never be used:

Yes

No

Religious Explorers Program: RE Registration Form 2012-2013

Please note:

1 Registration form + 1 Teacher Form (or RE Volunteer Form) = Complete Registration

First Unitarian Society of Minneapolis | 900 Mount Curve Avenue | Minneapolis, MN 55403 | 612-377-6608