Faith Development Registration Please complete for each student. Please enable JavaScript in your browser to complete this form.Student Name *FirstLastPreferred nameDate of Birth mm/dd/yyyy *Current Grade Level *PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12thOtherAny special needs, allergies, or health concerns? *Parent/Guardian Name *FirstLastRelationship (parent/grandparent/etc) *Street Address *City *State *COZip Code *Parent/Guardian Email *Parent/Guardian Phone Number *Additional Parent/Guardian NameFirstLastRelationship (parent/grandparent/etc)Street Address (if different)CityStateCOZip CodeAdditional Parent/Guardian EmailAdditional Parent/Guardian Phone NumberEmergency Contact (if parent/guardian cannot be reached)FirstLastEmergency Contact Phone NumberI am interested in volunteering in Faith Development. (select all that apply)Reading Story For All AgesVolunteering in the nurseryTeaching Ages 5-12Assisting with Ages 5-12Leading Youth Group (Grades 6-12)Assisting with Youth GroupChaperoning for FD trips or eventsHelping with multi-generational eventsOther - Please contact me.I give permission for CUUC to use images of my student in internal and external communications (newsletter, website, etc.). *YesNoSubmit
