Youth and Children's Religious Education Registration, September 2023-June 2024

Please fill out, then press submit
Parent or Guardian Information

 
 
 
 
 
Please select all that apply.
Second Parent/Guardian Information, if applicable

 
 
 
 
First Child

 
 
 
 
 
 
 
Second Child

 
 
 
 
 
 
 
Third Child

 
 
 
 
 
 
 
Program Preferences

Please select all that apply.
Authorization and Emergency Contacts

 
 
 
 
Please let us know if there is anyone who should not be in contact with your child.

 
Permissions and Agreements

Publicity Permission *

Northlake staff and volunteers occasionally take photographs and short video of Northlake activities. Please choose from the options below for consenting to use photographs/video/audio recordings in Northlake community and promotional materials. For the puproses of the below-chosen options, you will be asked to confirm that you are a legal guardian/parent of the children you are consenting for.

Consent is effective immediately and may be withdrawn by emailing the Director of Lifespan Religious Education at dlre@northlakeuu.org.
Please select all that apply.
Please select one option.
RE Program Participation Agreement 2023-2024

I/We, the legal guardian(s)/parent(s) of the minors registered for the RE program, give our permission to NUUC for our children to participate in the RE program during the 2023-24 church year.

I/We release NUUC for any liability of claim or cause of action that I may now have, or may have in the future as a result of any injuries received by the said child(ren) while s/he/they participating in any NUUC activities.

In the event of an accident, I understand that an attempt will be made to contact me at the phone numbers provided on the Registration Form. If the emergency contact, or I/We, cannot be reached in time,  I hereby authorize the administration of emergency medical aid to my child(ren). I agree to accept financial responsibility for any and all emergency medical care so provided.

I/We agree to accept responsibility for the supervision of our young people while they are using electronic devices.

I/We understand that NUUC is a public space and cannot be held responsible for photos or videos taken and used by non-staff members outside of official NUUC publication spaces.

I/We understand that NUUC staff and RE volunteers are mandated reporters and cooperate with all community safety reporting practices.

I/We acknowledge that NUUC requires adherence to our Safe Congregation policy for official NUUC activities and understand that it contains recommended practices for unofficial activities as well.

I/We commit to honoring the NUUC Covenant of Right Relations and all NUUC policies and procedures.








Please select all that apply.
Donations

Northlake's Religious Education program is supported by the whole congregation and therefore there are no registration fees required for participation.

If you would like to make a donation to support Children's RE, we welcome your support. You can donate online or send a check to Northlake (please enter CRE in the memo line), to Northlake UU, 308 4th Ave S, Kirkland WA 98033.

Description

Please fill out, then press submit