2020-21 Religious Exploration Registration
Welcome to our online adventure for UUSM and UUFRC families! Please submit this registration form for each child/youth under 18. Estimated completion time: 10 minutes
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Your Information
Primary Guardian Contact
Primary Guardian Contact's Name
*
First Name
Last Name
Primary Contact's Email Address
*
example@example.com
Primary Contact's Phone/Text (Cell)
*
Primary Contact's Relationship to Child/Youth
*
Please indicate which UU Peninsula Cluster group your family attends:
UUs of San Mateo
Redwood City UUs
UU Coastside Community
Other
Have you already submitted a 2020-21 UUSM RE Registration (this form) for another child/youth?
*
Yes
No
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Enter Information for a Second Adult
Please enter information for your partner or other responsible household adult. If your situation is different, it is okay to leave blank.
Second Adult Contact's Name
First Name
Last Name
Second Contact's Email Address
example@example.com
Second Contact's Phone (cell)
Second Contact's Relationship to Child
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Household Information
Household Address (Required. Include City, State, Zip)
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
United States
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Family Programs Sign-up:
SIGN US UP FOR FAMILY DINNERS! Every other month, join a Zoom with 2-3 other families. Eat dinner together, chat, and/or play a game. Each month, different families will be grouped together. It's a fun, low-key way to connect with church friends. Meets Sep, Nov, Jan, Mar, May.
WE'D LIKE TO BE A CHALICE LIGHTERS HOUSEHOLD: Join the rotation of households who light the Sunday service chalice. All Zoom technical support provided, it's not hard to do.
SIGN US UP FOR THE MONTHLY "CREATIVITY PROJECT" GROUP: Come together to make a craft project related to the worship theme. Easiest for Grades 5+, kids must attend with family. You will bring your own supplies from a provided list. Usually 2nd Friday evenings/Saturday mornings, tbd.
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Child/Youth Information
Child/Youth Name
*
First Name
Last Name
Preferred Pronouns
*
(she/her, he/his, they/them, etc)
Self-identified Gender
*
(she/her, he/his, they/them, etc)
Grade in School
*
Please Select
Toddler
Pre-Kindergarten (Pre-school)
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Sixth Grade
Seventh Grade
Eighth Grade
Ninth Grade
Tenth Grade
Eleventh Grade
Twelfth Grade
Date of Birth
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
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5
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31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
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1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
for Youth registration only
Gr.6-12 use group emails and texts for RE group coordination. UUSM follows the safety rule that 3 or more people must be on all youth communications (never 1-1), and contact info is only used for official RE-related items, not personal conversations.
Youth's Email
example@example.com
Youth's Phone (Cell)
I give permission for my youth to participate in RE Emails and Texts:
Yes
No
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2020-2021 RE Program Sign-up
My Child/Youth's RE Group:
*
CHALICE CHILDREN (PreK-Gr.2): 2nd Saturday 9:30-10am
EXPLORERS (Gr.3-5): 1st/3rd Sundays, 12 noon -1pm
TREKKERS (Gr.6-8): 1st/3rd Sundays, 4:00-5:00pm
YRUU YOUTH GROUP (Gr.9-12): 1st/3rd Sundays 5:30-6:45pm
Other programs my child/youth wants to participate in this year:
YOUTH JUSTICE PROJECTS (Gr.3-5/Gr.6-10): Times TBD, estimating no more than a few hours a month on average.
SUNDAY SERVICE PROJECTS (All ages): Record songs, do a reading or skit, create art and other projects to be shown in Sunday service. Kids/youth can choose what they will participate in, and if solo or group.
Please indicate how you prefer to volunteer.
We are asking every family to help in some way. Many hands make more fun, and we can't make the magic happen without you!
Please select the option you would prefer:
*
TEACHING TEAM: Leads will do 2-3 months (two 1-hr sessions/month) , then rotate off for one month, etc. Other schedules possible. It would be best to have 2 leads at a time. (The new whole-church curricula has very minimal setup, and DRE will do most/all prep. Zoom training is provided and it's not difficult!)
RE "ROOM PARENT": Help DRE with encouraging families in your child's RE class, provide feedback, help coordinate occasional activities or tasks if needed, all-around cheerleader and good egg.
RE SECOND ADULT: Attend classes/sessions twice a month, assist the Lead Adult and be the second adult required by the safety policy.
HELP WITH FAMILY PROJECTS/ACTIVITIES: Coordinate and help with ongoing activities for families.
CONTENT UPDATES: Help maintain the Home Activities Padlet webpages (approx 2 hrs/month)
I have unusual circumstances affecting my ability to help out right now.
Please use the team role I selected on a 2020-2021 Registration form I already submitted for a different child/youth.
Comments/Questions:
Please provide any details or questions for follow-up, or if you can help with anything besides your primary choice above. We are so grateful for YOU! Thank you for supporting our amazing UUSM families.
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Medical Information and Waiver
As we are online this year and guardians are responsible for their child(ren) at home even during UUSM online meetings and classes, we will not collect all the usual medical information at this time. When we are able to begin doing some safe socially-distanced events, we will send out "field trip" forms for this information. Please make sure the Concerns field below includes everything Zoom leads should be aware of during Zoom/ online meetings.
List all special needs, concerns, or sensitivities you would like to share regarding your child. If none, write None.
*
(eg, medical concerns or needs, learning differences, factors impacting them) This information will be held confidentially and will only be shared as-needed with their teacher.
Media Release
UUSM may photograph and record my Youth’s likeness and activities (pictures, images, audio or video) during UUSM-related activities. UUSM has permission to use and re-use, publish and re-publish and modify or alter the pictures, images(s), audio and video, for materials related to UUSM. We release and discharge UUSM from any and all claims arising out of use of the pictures or images for the purposes described above, including any claims for libel, right of publicity, or invasion of privacy.
Permission Granted for 2020-2021:
*
Public posting of photos and videos okay (we will never use names without asking)
No
Ask every time
Parental Consent
I hereby give permission for my child/youth to attend and participate in any online UUSM child/youth activity. I understand it is my sole responsibility for my child/youth's safety during any online UUSM activity, wherever they are located physically. I further understand that any later transition towards in-person gatherings will be discussed and approved by parents for their child before being implemented.
Liability Release
In consideration of UUSM allowing your child/youth to participate in child/youth activities, we the undersigned, on behalf of ourselves and the child/youth, do hereby release, forever discharge, and agree to hold harmless UUSM, its ministers, employees, officers, volunteers and teachers (“UUSM”) from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, or any nature whatsoever which may be incurred by the undersigned and/or the child/youth while involved in child/youth or other church activities. We, the parents or legal guardians of this child/youth hereby grant our permission for the child/youth to participate fully in child/youth activities. Furthermore, we, on behalf of our minor child/youth, hereby assume all risk involved therein. The undersigned further hereby agree to hold harmless and indemnify UUSM for any liability sustained by UUSM as the result of the negligent, willful or intentional acts of said child/youth, including expenses incurred attendant thereto.
Date
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Month
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Year
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Signature (You will have a chance to review the form before submitting it)
*
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