Religious Education Registration Form
Please fill out one form for each child in your household and click submit.
Child Information
Full Name of Child
*
Birthdate
*
Pronouns
*
Please select all that apply.
she/her
he/him
they/them
Other
Classroom/Grade Level (or Equivalent)
*
Please select one option.
Infant/Toddler
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Select Option
Infant/Toddler
Pre-K
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Infant/Toddler
Please select one option.
Infant
Toddler
School District
*
Please select one option.
Akron CSD
Aurora CSD
BIOMED
Crestwood LSD
Cuyahoga Falls CSD
Field LSD
Homeschool
Hudson
James A. Garfield LSD
Kent CSD
Ravenna CSD
Rootstown LSD
Southeast LSD
Stow-Munroe Falls CSD
Streetsboro CSD
Waterloo LSD
Windham EVSD
Other
School (Other)
Child's Primary Address
*
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Tell Us Something About Your Child..... (interests, talents, favorites etc.)
*
Upload Child's Photo
Upload (8MB)
Youth Contact Info. (Middle/High School only)
Youth Cellphone
*
Youth Email
*
This address will receive a confirmation email
Parent/Guardian #1 Information
#1 Name
*
Email
*
This address will receive a confirmation email
Phone
*
Upload Photo
Upload (8MB)
Parent/Guardian #2 Information
#2 Name
Email
This address will receive a confirmation email
Phone
*
Upload Photo
Upload (8MB)
Parent/Guardian #3 Information
#3 Name
Email
This address will receive a confirmation email
Phone
Upload Photo
Upload (8MB)
Health and Safety Information
Allergies
Dietary Restriction
*
Please select all that apply.
Vegan
Vegetarian
No Dairy
No Gluten
No Peanuts
No Tree Nuts
Low Carb/Sugar
Dietary Restriction (Other)
Support Needs for Child/Youth
*
Please select all that apply.
My child has a food allergy
My child has an environmental or insect allergy
My child needs support for a medical condition
My child is neurodiverse
My child is trans, non-binary or gender creative/exploring
I would like for the Director of Religious Education to contact me to discuss my child's support needs
My child has no additional support needs at this time
Other (see below)
Please use this space to give information about the answers above, if needed. (ex: what is your child allergic to? What are some strategies that support your neurodiverse child in the classroom?)
Permissions
Use of photography
*
Please select one option.
I give my permission that my child's photo may be taken for use in the newsletter and on the church website and/or facebook or other social media sites.
I give my permission that my child's photo may be taken for use in the newsletter and on the church website and/or facebook or other social media sites.
NO I do not want my child photographed at any church event.
Event and communications:
*
Please select all that apply.
I give permission for my child to participate in activities off-campus with their teachers (ex. River walks, litter clean-up, protests etc)
I DO NOT give permission for my child to participate in events outside of the church campus
I give permission for my YOUTH to use the REMIND app to communicate with RE leaders and peers.
Family Ministry Support
I am interested in volunteering in the following ways:
*
Please select all that apply.
Teaching or assisting in RE classes
Helping Miss Michelle in the nursery
Volunteering for special events (ex: family dinners, celebrations, holiday parties, outreach projects)
Helping Colleen and the RE committee with behind the scenes tasks such as cleaning, organizing, decorating rooms etc.
I am unable to volunteer at this time
Submit
Description
Please fill out one form for each child in your household and click submit.
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