Children's Religious Education & Youth 2023-2024 Registration

Child/Youth (please fill out a separate form for each child/youth)

Name

Allergies, medical conditions, special needs

We welcome your input. Please let us know about your child’s interests, temperament, and effective ways to redirect them or comfort them… and ANY special needs or learning styles. We intentionally strive to protect your child’s physical, emotional and spiritual safety every Sunday, and whenever R.E. activities take place. Please tell us about anything that we, as loving community, should be aware of, or sensitive to, with regard to your child.

I agree that my child/youth will not attend in-person R.E. if any of the following are true:

- My child/youth is experiencing any symptoms such as fever (100.0 and above) or chills, cough, shortness of breath, sore throat, fatigue, headache, muscle/body aches, runny nose/congestion, new loss of taste or smell, or nausea, vomiting or diarrhea.
- My child/youth has had “close contact” with an individual diagnosed with COVID-19. “Close contact” means living in the same household as a person who has tested positive for COVID-19, caring for a person who has tested positive for COVID-19, being within 6 feet of a person who has tested positive for COVID-19 for 15 minutes or more, or coming in direct contact with secretions (e.g., sharing utensils, being coughed on) with a person who has tested positive for COVID-19, while that person was symptomatic.
- My child/youth has been asked to self-isolate or quarantine by their doctor or a local public health official.

By checking this box, I agree to the above statement.

Agree

Ideas and feedback for the program.

Child/Youth Contact Information (if they have their own phone and/or email)

Mobile Phone

This address will receive a confirmation email

Picture/Video Publication

On occasion we take pictures or videos of R.E. events. We occasionally post them on our bulletin boards, in our newsletter, on our website, and on Facebook/Social Media. Children will not be identified by name without separate, special permission. Please check the boxes below to give permission for us to use (un-named) photos containing your child/youth. Newsletter Website Social Media

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Children's Religious Education & Youth 2023-2024 Registration

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