2020-21 Religious Exploration Registration

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

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

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

Household Information
Household Address (Required. Include City, State, Zip)

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code 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.

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 *
Date of Birth *

Month Day 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

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 *

Month Day Year
Date
Signature (You will have a chance to review the form before submitting it) *

Clear
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2020-21 Religious Exploration Registration

Your Information

Enter Information for a Second Adult

Household Information

Child/Youth Information

for Youth registration only

2020-2021 RE Program Sign-up

Please indicate how you prefer to volunteer.

Medical Information and Waiver

Media Release

Parental Consent

Liability Release