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The Unitarian Universalist Congregation in Westport

10 Lyons Plains Rd., Westport, CT 06880 - Ph: (203)227-7205 Sunday Services: 10:00 AM

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Faith Formation Registration

You can download and print PDF version of this form. CLICK HERE.

Questions? Contact Nate Pawelek, Lead for Children and Youth Faith Formation
(203) 227-7205 ext. 15

For planning purposes and safety, we request that you complete this registration form for your child(ren) and youth. One form per family is fine. Please complete and submit online. If you prefer to hand-write the form, you may print this or find a hard copy at the Welcome Table in the church foyer. Thank you!
Child Information
Child #1's name:
First Last
School Grade Level
Date of Birth
Month
Day
Year
Age today
Please enter a number from 1 to 18.
Child #2's name:
First Last
School Grade Level
Date of Birth
Month
Day
Year
Age today
Please enter a number from 1 to 18.
Child #3's name:
First Last
School Grade Level
DateDate of Birth
Month
Day
Year
Age today
Please enter a number from 1 to 18.
Supplemental Information
Please list any special essentials such as medications, allergies, and other important information that you feel we may need to provide your child with the best possible learning environment.
Have you made a pledge?
- Yes
- No
Media Consent
Do we have permission to use your child(ren)'s image (without identifying names) in photos and videos relating to TUUCW and its programs?
- Yes
- No
Family Information
Parent / Caregiver Name #1:
First Last
Parent / Caregiver Name #2:
First Last
Mailing Address:
Street Address City State / Province / Region ZIP / Postal Code
Email - Parent / Caregiver #1
Email - Parent / Caregiver #2
Cell number - Parent / Caregiver #1 (for text alerts)
Cell number - Parent / Caregiver #2 (for text alerts)
May we add you to our family text group to receive periodic messages about Faith Formation plans?
- Yes
- No
Family Involvement
Our Faith Formation leaders need your occasional support. By checking one or two of the following, consider helping with:
- Group Classroom helper (specify grade or age preference)
- Creating Experiences for our children and youth
- Special Events (Halloween, Holiday Play, Mystery Pen Pals, Valentine’s Day, Souper Bowl Sunday)
- Worship Ideas for Children’s Chapel and Multi-Generational services.
- Music
- Social Justice Projects in and around our community
- Nursery
- On a Summer Sunday
Group Classroom helper (specify grade or age preference)
Permissions
I/we grant permission for my child(ren) to take part in Faith Formation programming at The Unitarian Universalist Congregation in Westport, including any supervised adventures away from the church (to be announced). Also, I/we agree to remain on church campus while my child(ren) participate in Faith Formation programming apart from adults, so that I/we may be immediately available in case of emergencies.
First Last

Child Information

Supplemental Information

Media Consent

Family Information

Family Involvement

Permissions