Religious Education Registration & Travel Permission Form for Youth

Universalist Unitarian Church of Waterville

Dear Parents,

We welcome your children and your participation in the RE program. Please fill in

the information below to register your youth in our RE program.

Please return this completed form to the Director of Religious Education (DRE) mail

slot in Averill Parlors, hand to Linda Lee or mail to Universalist Unitarian Church of

Waterville, P.O. Box 435, Waterville ME 04901. Thank you!

Child’s/Youth’s Name & Nickname Age Birthdate Grade E-mail Address

1. ___________________________________________________________________________

2. ___________________________________________________________________________

3. ___________________________________________________________________________

4. ___________________________________________________________________________

Parent(s)

Name(s): __________________________________ __________________________________

Address: _________________________________ __________________________________

E-mail: __________________________________ __________________________________

Phone(s): __________________________________ __________________________________

__________________________________ __________________________________

Please list any allergies, dietary restrictions, or any special needs about which RE

teachers should know:

My child/ren has/have permission to participate in activities in RE class, including going

outside the church for walks, outdoor games and related activities with the adult leaders.

I give permission for my child/ren to drive with other adults for church sponsored trips.

Parent/Guardian _____________________________________ Date ________________