RE Registration Form 2024-2025
Please fill out this form and click submit.
Parent/Guardian Information
Name
Pronouns
Email
Phone
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
Preferred Method of Contact
Please select all that apply.
Phone
Text
Email
Any of the Above
Additional Parent/Guardian
Second Parent's Name
Pronouns
Phone
Email
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
Preferred Method of Contact
Please select all that apply.
Phone
Text
Email
Any of the Above
Any other adults you'd like to include as caregivers in your family? If so, provide names and contact info.
RE Program Involvement Interest
Are you interested in being added to the RE families email listserv?
Please select one option.
Yes!
Not at this time
I'm already on it
Would you be interested in being on an RE teaching team (1-2x a month)?
Please select one option.
Yes
Not at this time
Maybe - contact me to discuss
Would you be interested in assisting (helping/being present!) in a class?
Please select one option.
Yes
Not at this time
Maybe from time to time
Child's Information
First Name
*
Last Name
*
Date of Birth
Pronouns
Grade
School
Any additional important information (dietary restrictions, allergies, accessibility needs)
Name 3 top interests / hobbies for this child.
Second Child's Information
First Name
Last Name
Date of Birth
Pronouns
Grade
School
Any additional important information (dietary restrictions, allergies, accessibility needs)
Name 3 top interests / hobbies for this child.
Third Child's Information
First Name
Last Name
Date of Birth
Pronouns
Grade
School
Any additional important information (dietary restrictions, allergies, accessibility needs)
Name 3 top interests / hobbies for this child.
Photography Consent
I/we grant permission for a photo/image that includes my child(ren) without any other personal identifiers to be published in the following places:
*
Please select all that apply.
A) Congregational Newsletter
B) Website (www.FirstParishMalden.org)
C) First Parish Malden Facebook / Instagram Page
D) Other promotional materials such as posters or flyers
E) None of the above
I/we grant permission for video footage that includes my child(ren) without any other personal identifiers to be published in the following places:
Please select all that apply.
A) YouTube
B) Website (www.FirstParishMalden.org)
C) First Parish Malden Facebook / Instagram Page
D) None of the above
Parent/Guardian Virtual Signature
Today's Date
Parent / Caregiver Programming
Would you be interested in participating in any of the following?
Please select all that apply.
Donuts and Dishing
Parenting / Caregiver Book Club
Parenting Discussion Group (open-ended topics)
Parenting Discussion Group (with themed discussions about UU-related topics)
Parents Night Out
Family Potlucks
Family Hikes / Outdoor Activities
When would you be available to attend parenting events? (Note, some of these events could be online)
Please select all that apply.
Sunday 9:30 AM (before church)
Sunday after church
Weekend day time
Weekend evenings
Weekday mornings
Weekday evenings
Any other comments or ideas relating to parenting programming?
Permission Slip for Outdoor Time
As the parent or legal guardian of the child/ren listed above, I hereby consent for my child to go outside with Religious Education staff and/or volunteers. Write your full name here at act as your digital signature.
Optional Feedback
What are your hopes and dreams for your family's participation at First Parish this year?
Do you have any ideas to share to support religious education at First Parish? Special skills you might contribute?
Any other questions or comments?
Submit
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