RE Registration 2024 - 25
Please fill out this form and click submit.
Parent/Guardian Contact Information
Parent/Guardian
*
Email
*
This address will receive a confirmation email
Phone
*
Address
*
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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
Email
Address
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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
Phone
Would you like to add another adult? Please provide their name and contact information here if different.
Children and Youth Information
Name
*
Birthdate
*
Biological Sex (Optional)
Please select one option.
Female
Male
Select Option
Female
Male
Gender Identity (Optional)
Please select one option.
Male
Female
Nonbinary
Other
Select Option
Male
Female
Nonbinary
Other
Please let us know if there are specific pronouns you would like us to use for your child.
Grade entering as of September 2024
*
Please select one option.
Nursery
PreK
Kindergarten
1
2
3
4
5
6
7
8
9
10
11
12
For which class/es would you like to register your child? Check any that apply
*
Please select all that apply.
Spirit Play I (PreK - K) Wisdom Tales
Spirit Play II (1st - 3rd Grade) Hide and Seek with God
Toolbox of Faith/Windows & Mirrors(4th - 5th Grade)
Families/Riddle & Mystery (7th - 9th)
Coming of Age (Grades 10-12)
Our Whole Lives Sexuality Education (7th - 9th) ***Select Sunday Evenings Only
Coming of Age CREDO (11th & 12) ***Select Sunday Evenings Only
Medical and Special Needs
Does this child have any special needs (behavior, allergies, food restrictions, medications, etc.) we should be aware of? Such information is confidential and will be shared only with those working with your child.
*
Please list any type of educational diagnosis or special educational needs this child has. This information will allow the individuals working with your children to maximize your child’s educational experience. Such information is confidential and will be shared only with those working with your child.
*
Should we be aware of any learning, attention, anxiety, or behavioral challenges your child faces? Please notify the Lifespan Religious Education Director (dre@first-unitarian-pgh.org) if you feel your child would benefit from having an assistant in the classroom.
*
Photo and Website Permissions
I grant permission for photos of my child(ren) in religious education activities to be published on the church web sites and social media, church-only e-mails, or in the church building. I understand there will be no names used.
*
Please select one option.
Yes
No
Acknowledgement of Responsibilities
By submitting this form, we acknowledge: 1) that email from the LRED and church news via the First Unitarian Church Weekly email news, are the 2 primary methods of communicating with parents 2) that in order to stay informed of events, we will check messages regularly and be sure we can receive e-mails originating from First Unitarian Church Pittsburgh 3) We understand that there must be a parent/guardian on the premises for all programs and activities unless otherwise specified and 4) All parents/caregivers are required to volunteer 4 hours of their time in the program over the course of a year to have children or youth participate in our programs.
*
Please select all that apply.
Yes
Submit
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