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Cooperative Church School Family Registration Form

Adult contact information


Please complete the form to register your child(ren) for religious education. Items that are required are marked with an asterisk (*). There is no fee for children's participation in our program. However, program cost are covered only by the contributions of UU Santa Fe members and friends. Please consider making a contribution. Registering your child(ren) does not mean the parent(s) is a member of UU Santa Fe. If you wish to become a member please talk with Rev. Marriner.

Today's Date (*)

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Adult 1 First Name (*)

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Adult 1 Last Name (*)

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Adult 1 Home or Cell Phone (*)

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Work Phone

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Adult 1 Home Address (*)

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Adult 1 City (*)

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Adult 1 State (*)

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Adult 1 Zip Code (*)

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Adult 1 E-mail (*)

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Adult 2 First Name

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Adult 2 Last Name

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Adult 2 Home or Cell Phone

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Adult 2 E-mail

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Your Child(ren)


Please provide the names, birthdays, and grade level of your child(ren).

Child 1 First Name (*)

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Child 1 Last Name (*)

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Child 1 Date of Birth (MM-DD-YYYY) (*)

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Child 1 Grade in School (*)

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Child 2 First Name

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Child 2 Last Name

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Child 2 Date of Birth (MM-DD-YYYY)

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Child 2 Grade in School

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Child 3 First Name

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Child 3 Last Name

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Child 3 Date of Birth (MM-DD-YYYY)

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Child 3 Grade in School

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Child 4 First Name

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Child 4 Last Name

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Child 4 Date of Birth (MM-DD-YYYY)

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Child 4 Grade in School

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IT IS IMPORTANT TO BE THOROUGH IN COMPLETING THIS SECTION. FOR UPDATES, PLEASE CONTACT EMILY CARROLL, DIRECTOR OF FAITH DEVELOPMENT AT 505-982-9674 X-4. Note anything that may help us serve your family better: medical conditions, allergies, dietary restrictions, medications, special needs; family circumstances such as a divorce, death, move, or new school. If there is more than one child please indicate the name. All information will be confidential, unless the class leadership needs to know for safety.

Detailed Information for DFD (*)

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Permissions

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{Agree to Covenant:validation} {Agree to Covenant:description}
{AgreetoCovenant:caption} (*)
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{AgreetoCovenant:validation} {AgreetoCovenant:description}

The undersigned parent or legal guardian hereby gives permission for the children/youth listed on to participate in the UU Santa Fe Faith Development Program. This signature also give permission for these children/youth to leave the premises for walking outings during the Sunday programs. At all times, a minimum of two adults will accompany the children/youth. This permission also authorizes the supervising adults to seek emergency medical treatment for my children/youth when deemed necessary. This consent is effective August, 2016 through August, 2017.

General permission is granted by checking the box (*)

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The parent(s) or guardian(s), by checking the box below, give permission for inclusion of unidentified photos of their child(ren) to be displayed on bulletin boards in the our building, and/or on the UU Sant Fe web site.

Permission to use photos in media is granted by checking the box

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Enter text in box
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