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SEL-CY Registration Form

SEL-CY Family Registration Form (2019-20)

Welcome to First Unitarian Church and the Spiritual Exploration and Learning Program for Children and Youth. Thank you for taking the time to fill out the following form. Your annual update helps ensure that we are serving the needs of your children and youth - including any needs that may have arisen since last year's registration. Questions or concerns? Contact arran@victoriaunitarian.ca.

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FAMILY REGISTRATION FORM
Welcome to First Unitarian Church and the Spiritual Exploration and Learning Program for Children and Youth. Thank you for taking the time to fill out the following form. Your annual update helps ensure that we are serving the needs of your children and youth, including any needs that may have arisen since last year's registration. Questions or concerns? Contact arran@victoriaunitarian.ca.
YOUR NAME*
First Last
Email*
Contact information?*
- I have already provided complete and current contact info.
- I want to update or add contact info (only provide the contact info you want to add or update; skip anything that remains the same).
Preferred phone
Mailing address
Street Address Address Line 2 City Province Postal Code
Other adults / additional family contact info (e.g. co-parent, grandparent, chosen family)
Please list close friends or chosen family (and their contact information) including those who participate in bringing your child to church. We anticipate that your child will be picked up by one of the adults listed here unless you inform us otherwise.
CHILD 1 (please list only the children in your family who will be participating)*
Please list oldest to youngest.
First Last
Date of birth*
Date Format: DD slash MM slash YYYY
Grade in school (or homeschool equv)*
What helps your child participate well in groups? What soothes them if they are upset?*
Is there another child to add?*
- Yes
- No
CHILD 2 (please list only the children in your family who will be participating)*
First Last
Date of birth*
Date Format: MM slash DD slash YYYY
Grade in school (or homeschool equv)*
What helps your child participate well in groups? What soothes them if they are upset?*
Is there another child to add?
- Yes
- No
CHILD 3 (please list only the children in your family who will be participating)*
First Last
Date of birth*
Date Format: DD slash MM slash YYYY
Grade in school (or homeschool equv)*
What helps your child participate well in groups? What soothes them if they are upset?*
Is there another child to add?
- Yes
- No
CHILD 4 (please list only the children in your family who will be participating)*
First Last
Date of birth*
Date Format: DD slash MM slash YYYY
Grade in school (or homeschool equv)*
What helps your child participate well in groups? What soothes them if they are upset?*
Is there another child to add?
- Yes
- No
CHILD 5 (please list only the children in your family who will be participating)*
First Last
Date of birth*
Date Format: DD slash MM slash YYYY
Grade in school (or homeschool equv)*
What helps your child participate well in groups? What soothes them if they are upset?*

Health and Safety Considerations
I have read the responsibilities outlined below and am aware that parents / guardians have the primary responsibility for their children at church.*
I/we register my child(ren) in First Unitarian Church of Victoria (FUCV)’s Spiritual Exploration Program, understanding that it is a collaborative program between parents, group leaders, and the church community, designed to foster spiritual growth and learning in the context of Unitarian Universalism. I understand that the church follows best practices for ensuring safety and release FUCV from legal liability for unforseen and accidental damage, both inside the church and on its grounds. I am aware that the forest presents inherent risks (such as uneven ground which may cause tripping and falling), but allow the church to support my child/ren in learning about managing minor risks such as these. Except during Children’s program sessions, I understand that parents are responsible for the actions and activities of their children. This includes before and after church, and at all church-sponsored events such as picnics, Community Dinner and Choir Concerts. I understand that this also means that either a parent or a parent designate shall be present when my child/ren are in attendance. If my child/ren attend without me, I will inform the Director of Spiritual Exploration and find an adult who will be responsible for my child.
- Yes
- Please contact us to discuss this further
Children's Covenant*
Please take a moment to read through the covenant with your child(ren) at https://victoriaunitarian.ca/children-youth/parents/childrens-covenant/ and let us know:
- We agree
- Please contact us to discuss this further
Special Considerations*
Each year, we ask that you update us with your child's allergies, medication, medical conditions, abilities, special needs, learning disabilities, health, emotional needs, family situation, etc. The information is being collected for the purpose of caring for your child and will be made available only to your child's teacher, only as necessary. This information will not be publicly available.
- None
- See below
Special Consideration Details
Specify details for each child.
Please provide your child's medical insurance number (optional for children 10 and under):
Adults precluded from picking up a child:
Photo Permission*
Photography allows us to foster congregational community and express our spiritual selves to the wider community and is an important way we connect in the world. We would love it if you would help us share in this way, but we require your informed consent and agreement before we do so. Here are the details: I/we grant permission to First Unitarian Church of Victoria (FUCV) to take photographs and/or videos of my child(ren) during church-sponsored activities. I/we understand that our child(ren) will not be identified by name. I/we authorize FUCV and the Canadian Unitarian Council (CUC) to use the likeness(es) of my child(ren), in print or electronically, for lawful and reasonable purposes including church displays, congregational and CUC communications, and on the FUCV and CUC websites.
- Yes
- No
- Please contact us to discuss this further
Family Newsletter*
Would you like to receive the FUCV Family Newsletter (can unsubscribe at any time)?
- Yes
- No
- I already receive it

Young Children*
One of more of my children are age 5 or younger.
- Yes
- No
Young Children in the SEL-CY Program
Drop-off and Pick-up*
I understand that when I drop off a child at STARS (ages 2-5), I must sign in with the Program Leader/Assistant. When I pick up a child from STARS I understand I must sign them out on the class attendance sheet.
- Yes
- No
- All of my children are older than Grade 1

Our Family's Commitment
The Spiritual Exploration program is cooperative and requires the gifts of time and energy from many. Because parent involvement is so vital to the success of our program, families are asked to volunteer as able. Please check your preferences below.
Our family are interesting in contributing by:
- leading/assisting with a program (1-2 times per month)
- leading OWL program (additional time commitment, training needed)
- sharing a skill with kids/youth (art/music/nature/building/yoga etc.)
- helping with admin tasks
- creating promotional materials (flyers, web content, etc.)
- doing outreach (social media, putting up posters in your community, tabling at festivals and/or networking at events)
- supporting special events (solstice, sleepovers, multigen services, etc.)
- other (please specify in box below)
More info about what I can offer
Let us know about your special skills or passions.
Anything else?
Please let us know your questions, concerns and ideas.
Comments
This field is for validation purposes and should be left unchanged.

More in this section

2019-20 Program Overview
Childminding in Wee Care
Mindfulness Program for Youth
Our Children & Youth Leaders
Volunteers
Our vision
Welcome!
Children and Youth Events 2019
Information for Parents and Guardians
OWL Sexuality Program

Sunday services

Worship services every Sunday at 10:30am – Everyone welcome! Directions and contact information.

We also host regular events for adults, youth and children. See our EVENTS CALENDAR for more information!

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First Unitarian Church of Victoria
5575 West Saanich Road • Victoria BC • V9E 2G1

Phone: 250-744-2665
churchoffice@victoriaunitarian.ca • www.victoriaunitarian.ca

Website contact: webmaster@victoriaunitarian.ca

In a spirit of gratitude and respect we acknowledge the traditional land of the WSÁNEĆ First Nations, on whose lands we gather.