UUCS Family Information Form

Please help us keep your child(ren) safe and build a ministry which nurtures your family's needs by filling out this form.
Please note: with the exception of emergency contact information, information shared in this form will be kept confidential unless explicit permission has been give by you, the parent, to share with other staff or UUCS volunteers.
If you have questions, please email re@uuspokane.org or 509-325-6383 to confirm.
Parents/Guardians Info:

Parent/Guardian 1:

 
 
 
 
 
Parent/Guardian 2:

 
 
 
 
 
 
Parent/Guardian 3:

 
 
 
 
 
 
Parent/Guardian 4:

 
 
 
 
 
 
Child(ren)'s Information

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Emergency Information & Photo Permission

 
Please select all that apply.
In case of emergency, if the parent/guardian cannot be contacted, please contact:
 
 
 
 
Photo Release

We often take photos and videos of adults, youth, and children as they participate in congregational events. These may include worship service(s), religious education programming, social/family events, and social justice and action events. We use these images to promote our church and our faith in print, on our website, and on social media.
Please select one option.
 
 
 
 
Please tell me a little bit about you and your family...

The information provided here will help shape the way I and the church leadership approaches our ministry to you and your family. It will help us to plan events and programs which better meet the needs of families that attend UUCS.
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Sign and Submission

Please select one option.
We work hard to provide interesting and engaging events, education, and opportunities for exploration for you child(ren) and family. Please consider making a small donation to the UUCS CFM program to help us provide the best program possible. You can follow this link to donate online: http://uuspokane.org/WP2/create-community/donate/donate/
You may also bring/send cash or a check to the church's main office.
By submitting this form, I indicate that I understand that participants will assume all risks relating to any trips or events. I hereby release the Unitarian Universalist Church of Spokane, its chaperones, employees and/or agents from liability in conjunction with any risks and/or injuries that may occur.
Please sign and date below.
 
 
Thank you for sharing this information about your family with us. We are glad to have you with us!

If you have not done so already, please consider filling out this second information form, which will tell me more about who your child(ren) are: https://uucs.breezechms.com/form/8aa001

Description

Please help us keep your child(ren) safe and build a ministry which nurtures your family's needs by filling out this form.