RE Registration Form



    [your-subject "BRUU Religious Education"]

     

    FAMILY REGISTRATION 2021-2022
    Parent/Guardian 1

    Preferred Communication Method: emailtext

    This is the Child(ren)'s Primary Address:YesNo

    Parent/Guardian 2

    Preferred Communication Method: emailtext

    This is the Child(ren)'s Primary Address:YesNo

    Parent/Guardian 3

    Preferred Communication Method: emailtext

    This is the Child(ren)'s Primary Address:YesNo

    Parent/Guardian 4

    Preferred Communication Method: emailtext

    This is the Child(ren)'s Primary Address:YesNo


    List Persons NOT permitted to pick up:

    A copy of the Court Order is required to be on file with DRE to enforce.

    Child #1

    Child #2

    Child #3

    May we have permission to use photographs/videos of your child(ren) for the purpose of public relations and general publicity for BRUU? Children will NOT be identified by name. YesNo

    By submitting this form, I understand that there are risks associated by voluntary participation. I agree to hold harmless Bull Run Unitarian Universalists, its staff, volunteers, and representatives from outcomes that may result by participation.

    If medical attention is needed during participation, I consent to BRUU’s representatives to provide care and make decisions in my absence. I agree to be financially responsible for any costs related to that treatment.