Adult 1 Name
*
First Name
Last Name
Adult 1 Email Address
*
Adult 1 Cell Phone
*
(###)
###
####
Adult 2 Name
First Name
Last Name
Adult 2 Email
Adult 2 Cell Phone
(###)
###
####
Child 1 Name
*
First Name
Last Name
Child 1 Birthday
*
MM
DD
YYYY
Child 1 RE Programming
*
On Sunday morning, the Children's programming alternates between One-Room Schoolhouse, staffed free-play in the Wiggle Room/Playground, and multigenerational services.
Teens can also attend the UU Compass multigenerational small group once a month after lunch.
Child 1 Allergies
Child 1 Additional Information
Share any information about this child that will help us make this the best possible
experience for them (special needs, developmental concerns, learning styles, etc.).
Child 2 Name
First Name
Last Name
Child 2 Birthday
MM
DD
YYYY
Child 2 RE Programming
On Sunday morning, the Children's programming alternates between One-Room Schoolhouse, staffed free-play in the Wiggle Room/Playground, and multigenerational services.
Teens can also attend the UU Compass multigenerational small group once a month after lunch.
Child 2 Allergies
Child 2 Additional Information
Child 3 Name
First Name
Last Name
Child 3 Birthday
MM
DD
YYYY
Child 3 RE Programming
On Sunday morning, the Children's programming alternates between One-Room Schoolhouse, staffed free-play in the Wiggle Room/Playground, and multigenerational services.
Teens can also attend the UU Compass multigenerational small group once a month after lunch.
Child 3 Allergies
Child 3 Additional Information
Child 4 Name
First Name
Last Name
Child 4 RE Programming
On Sunday morning, the Children's programming alternates between One-Room Schoolhouse, staffed free-play in the Wiggle Room/Playground, and multigenerational services.
Teens can also attend the UU Compass multigenerational small group once a month after lunch.
Child 4 Birthday
MM
DD
YYYY
Child 4 Allergies
Child 4 Additional Information
Photo Release
*
Please indicate the photo policy to be used with your child(ren):
Bug Spray Release
Please indicate the bug spray policy to be used with your child(ren). Note: Children will often explore the garden, trial, and meditation area in our property next to the main building.
Release Clarificaiton
If you would like to make a clarification about one of the release above, please do so. For example, you might put, "Photos of my child can be used on the website if they are group photos. Individual photos can not be used."
