2019-20 RE Registration and Volunteer Form

Date

Parent Name

This address will receive a confirmation email

Parent Name

Primary Address

Phone

Cell Phone?

Yes No

Emergency Contact

Emergency Contact Phone

1st Child's Name

Birth Date

Initial Grade at BUF

Health Alert?

Yes No

2nd Child's Name

Birth Date

Initial Grade at BUF

Health Alert? Yes No

3rd Child's Name

Birth Date

Initial Grade at BUF

Health Alert? Yes No

4th Child's Name

Birth Date

Initial Grade at BUF

Health Alert? Yes No

5th Child's Name

Birth Date

Initial Grade at BUF

Health Alert? Yes No

List all allergies, medical, dietary or behavioral conditions that RE should be aware of, as well as any recommendations for management:

Additional adults authoriized to pick up your child.

General Permission for Participation in RE Program

I understand that BUf staff and volunteers will, to the best of their abilities, provide a safe environment for my child (children) and that they cannot be held responsible for injuries sustained while my child is in attendance. I authorize BUF staff and volunteers to seek medical care for my child (children) in the event that immediate medical attention is deemed necessary while he/she is in BUF care. I have noted any and all known special conditions that would warrant attention.

Electronic Signature - Please type your First and Last Name

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Permission.

Agree

Please acknowledge the following information

By checking this box I/we understand that BUF's policies generally include two caregivers in most classroom childcare situations but occasionally a single caregiver may be providing care alone.

Agree

By checking this box I/we understand that teachers occasionally take walks on BUF grounds or to nearby Fouts Park without obtaining special permission. I/we give permission for my/our child (children) to participate in such outings with the understanding that other field trips will require a separate permission slip.

Agree

By checking this box I/we state that we are committed to the spiritual development of my/our child (children) and to the vibrancy of BUF's Children's Religious Education Program and understand that regular attendance and active participation is the best way to achieve both.

Agree

By checking this box I/we give permission for our child/ren's photo(s)to be used in our BUF publications or on-line.

Agree

By checking this box I/we are willing to volunteer at least 8 hours of my/our time to BUF's Children's Religious Education Program.

Agree

Ways to Volunteer

Please enter the name of the volunteer(s) in your chosen tasks below (Fathers and Youth are also encouraged to volunteer):

RE Teacher/Assistant _____________________________

Substitute RE Teacher _____________________________

Photographer for RE Events _____________________________

Field Trip Driver or Chaperone _____________________________

Everybody's Birthday Helper _____________________________

Closet Cleaner _____________________________

Holiday Pageant Helper _____________________________

Help with Special Events _____________________________

Cooking for RE Special Events _____________________________

Parent Group Committee ____________________

Other _____________________________

Description

Please fill out this form and click submit.

After this form has been processed you may receive links to additional forms, such as Field Trip Permission, that you will be asked to complete.

Please keep in mind that while we do not charge for Religious Education, the cost is approximately $400 per student to run this program for the year. We believe it is the responsibility of the whole congregation (not just parents) to educate our children and youth, and request that everyone keeps this in mind when planning their annual pledge.

SAFE CHURCH POLICY
BUF and the RE Program welcome all children and youth and their families. We encourage all members of the congregation to volunteer with the children and youth as they are willing and able. Because we value the special circle of trust that we have created here, we require all adult volunteers who work with children and youth to consent to a criminal background check and sign a code of ethics. We accept the responsibility to educate ourselves and our children about sexual misconduct, about molestation, harassment and exploitation. We pledge to conduct ourselves in a manner that conveys mutual respect. If you have any questions, please contact ----

2019-20 RE Registration and Volunteer Form

Description

Please Fix the Following