The Unitarian Church
of Los Alamos, New Mexico
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Religious Exploration > Children's RE Registration 2008-2009

Children's Religious Exploration
Registration Form 2008-2009

 
Name of Child Birthdate
format: mm/dd/yyyy		 Grade in School Session(s)
Workshop Rotation
9:15 am		 Curriculum-Based
11:15 am		 Both

Parent/Guardian(s) Information
Name:
Address: Phone:
City:
Zip: 		Email:
(after submission, a confirmation email will be sent to this address)
[multiple email addresses in the same field MUST be separated by a comma]
 
Parent/Guardian(s) Information
Name:
Address: Phone:
City:
Zip: 		Email:
[multiple email addresses in the same field MUST be separated by a comma]

What is the best way to contact you? Phone   Email

Will you need childcare in order to attend the Forum at 10:00am? Yes   No

Picture/Name Publication
On occasion we take pictures of RE program events. We post them on our bulletin boards,
and, at times, submit pictures to the local papers. Please check the appropriate response below.
Children will not be individually identified.
Yes, the church may use my child/ren’s picture
No, the church may not use my child/ren’s picture

Addtional Comments (please refrain from using apostrophes ['] or quotation marks ["]):

Creative Commons License

(505) 662-2346
1738 North Sage St.
Los Alamos, NM 87544

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This page last modified August 4, 2008