First Unitarian Church

Parent's Name _____________________________________

Address___________________________________________

City, State, Zip_____________________________________

Occupation________________________________________

Phone: (H)________________ (W)____________________

e-mail____________________________________________

Parent's Name _____________________________________

Address___________________________________________

City, State, Zip_____________________________________

Occupation________________________________________

Phone: (H)________________ (W)____________________

e-mail____________________________________________

(If parents have more than one address, please circle the address where we should send R.E. mailings)

Children and youth to be enrolled

First and middle name	Date of Birth	Grade	Name of School	Talents and special interests

Parent/Guardian Participation and Responsibilities

Let your children know that you value their R.E. involvement. Encourage regular attendance -- students who attend frequently will derive the greatest benefit from our programs. Try to come on time -- many children feel uncomfortable when they walk into a class that is already in session. We also encourage parents to show interest in their young person's church experiences and to promote family discussion of themes and questions raised during R.E. classes.

Take responsibility for your children and their behavior before and after R.E. programs. During regular R.E. classes (Sundays, 10:55am – 12:15pm) and other scheduled program times, the DRE and/or designated church volunteers will supervise participating children and youth. Before and after classes, and during intergenerational Celebrations of Life, supervision of children and youth is the responsibility of their parent(s) or guardian(s). When children and youth programs are not in session, please know where your children are. Note that unsupervised children and youth are not allowed in classrooms at any time.

Fulfill your parent co-op responsibilities. Our Religious Education program for children and youth is a parent cooperative. We ask all parents to donate snacks and juice for our Sunday morning classes. In addition, all parents are required to donate a minimum of four hours per semester. Please check areas below indicating ways you would like to fulfill your participation requirement, and note your ideas for other ways you'd like to be involved.

__ Teach R.E. (grade level preferred ___)

__ Chaperone youth outings or special events

__ Help with Alternate R.E. Sundays

__ Play music for Upstairs Chapel

__ Lead or co-lead 1^st hour children's activities

__ Provide occasional childcare for preschoolers

__ Substitute for youth advisors

__ Work with summer R.E.

__ Help organize children's social action

projects

__ Other _________________________

Special talents or areas of expertise that I could share with a class (e.g. music, history, scientific knowledge): _________________________________________________________________

Read the Child/Youth Protection policy and sign the code of conduct.

I understand and agree to the parent/guardian responsibilities and participation guidelines.

Signature of parent or guardian _______________________________________________________ Date_________________ (OVER…)

From time to time we take field trips or hold overnights to help children learn more about curriculum topics, and/or to foster group spirit and growth. These outings and events will be chaperoned by adults, and any outings requiring transportation will be taken in vehicles driven by licensed adult drivers. Please sign below if you give permission for your child to participate in classes, class outings and events, assuming that all reasonable and proper precautions will be taken for your child's safety. Your signature also gives us permission to obtain any necessary emergency medical help for your child(ren) if needed.

PERMIT FOR EVENT PARTICIPATION AND EMERGENCY TREATMENT OF MINORS

Child's Name ______________________________ DOB____________________Age_____

Primary Physician_______________________________ Office Phone Number____________

Health Insurance Co.____________________________ Plan Number__________________

I.D. or Group Number___________________________ Other ________________________

Medications child is now taking, including over the counter medication:

___________________________________________

ALLERGIES:__________________________________________________

ALLERGIES TO MEDICATIONS:_________________________________

Person to contact in case of an emergency Name______________________ Phone_________

Relationship________________________

I/We hereby designate a representative of the First Unitarian Church to authorize any reasonable and necessary emergency medical care needed by child if a parent/guardian cannot be contacted, while the above named child is participating in church-related activities or field trips.

Signature of parent/guardian__________________________________ Date_______________