2026-2027 Early Childhood Registration Form

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Infants and Toddlers (ages 0-3)

Loving, supportive care for our youngest members.

PreK (ages 3-5)

Play-based program introducing our youngest children to UU rituals, songs and stories.

Child Name

*

Pronouns

Date of Birth

*

Allergies

*

Does this child require any special accommodations, modifications, or medical support to fully participate?

*

Guardian Name

*

Email

*

This address will receive a confirmation email

Phone

*

2nd Guardian Name

Email

Phone

Help make our special programming for families successful. What events can you help with this year?

*

Please select one option.

Halloween Party (October 24) Social Justice Challenge (October 4-25) Solstice (December 21) Christmas Eve (December 24) Valentine Crafternoon (February 14) Youth Led Service (March 14) Field Trip Chaperone (various dates - must be background checked and driver approved) COA Celebration Service (April) Senior Bridging Celebration (May) Child Care Assistant (must be background checked and attend brief training)

Description

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