We ask that all children attending classes be registered in our Religious Education program for reasons of safety, and so that we may communicate with you about activities an events throughout the year.
| Childrens' Names | Date of Birth | Grade in Fall | Attending our Church School? ) (yes/no) |
Name of parent/guardian #1:
Are you a member of this church? (yes/no)
Address:
Home phone:
e-mail:
May we call you at work? Yes No work phone:
Cell phone / Pager:
Name of parent/guardian #2:
Are you a member of this church? (yes/no)
Address:
Home phone:
e-mail:
May we call you at work? Yes No work phone:
Cell phone / Pager:
Mail for children should be sent to which address: ¨ 1 ¨ 2
Please list any special needs, conditions, or other information about your
children which we should know in order to encourage and/or limit participation
appropriately.
We hope you and your children will attend church regularly. what is your expectation
re. your child’s attendance (e.g. weekly, every other sunday, etc.)?
Parent consent: Church school personnel have my permission to treat and transport
my child(ren) in the event of an emergency. my child(ren) has (have) my permission
to participate in any walks or other trips planned as part of the religious
education program, provided she/he is under responsible adult supervision and
I am notified in advance if they are to leave church grounds.
Signature of parent/guardian:
Date:
Please Return This Form To The Religious Education Office.
FAX:
412.621.9011
Mail:
First Unitarian Church of Pittsburgh
Attn: Jennifer Halperin
605 Morewood Avenue
Pittsburgh, PA 15213-2999