Mindfulness for Youth 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.

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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(Required)

First Last

Email(Required)

Contact information?(Required)

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)(Required)

Please list oldest to youngest.

First Last

Date of birth(Required)

DD slash MM slash YYYY

Grade in school (or homeschool equv)(Required)

What helps your child participate well in groups? What soothes them if they are upset?(Required)

Is there another child to add?(Required)

Yes

CHILD 2 (please list only the children in your family who will be participating)(Required)

First Last

Date of birth(Required)

MM slash DD slash YYYY

Grade in school (or homeschool equv)(Required)

What helps your child participate well in groups? What soothes them if they are upset?(Required)

Is there another child to add?

Yes

CHILD 3 (please list only the children in your family who will be participating)(Required)

First Last

Date of birth(Required)

DD slash MM slash YYYY

Grade in school (or homeschool equv)(Required)

What helps your child participate well in groups? What soothes them if they are upset?(Required)

Is there another child to add?

Yes

CHILD 4 (please list only the children in your family who will be participating)(Required)

First Last

Date of birth(Required)

DD slash MM slash YYYY

Grade in school (or homeschool equv)(Required)

What helps your child participate well in groups? What soothes them if they are upset?(Required)

Is there another child to add?

Yes

CHILD 5 (please list only the children in your family who will be participating)(Required)

First Last

Date of birth(Required)

DD slash MM slash YYYY

Grade in school (or homeschool equv)(Required)

What helps your child participate well in groups? What soothes them if they are upset?(Required)

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.(Required)

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(Required)

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(Required)

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(Required)

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

Please contact us to discuss this further

Family Newsletter(Required)

Would you like to receive the FUCV Family Newsletter (can unsubscribe at any time)?

Yes

I already receive it

Young Children(Required)

One of more of my children are in grade 1 or younger.

Yes

Young Children in the SEL-CY Program

Drop-off and Pick-up(Required)

I understand that when I drop off a child at Wee Care (pre-K), I must sign in with the childminders. When I pick up a child from Wee Care or Adventurers (K-Gr 1) I understand I must sign her/him out on the class attendance sheet.

Yes

All of my children are older than Grade 1

Leaving the Sanctuary(Required)

I give permission for my child in (K-Gr 1) to leave the sanctuary without me to go to their programs following story time. I understand that if I select "no," I will need to accompany my child to the start of their program and check them in with their adult leader.

Yes

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 a program (1-2 times per month)

leading OWL program (additional time commitment, training needed)

assisting with a program (1-2 times per month)

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.

This field is for validation purposes and should be left unchanged.

Sunday Services

Join us at 10:30 a.m. for the Sunday worship service. You can connect by phone or online, or attend in person.

service info

First Unitarian Church of Victoria

Mindfulness for Youth Registration form

Health and Safety Considerations

Young Children in the SEL-CY Program

Our Family's Commitment

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In a spirit of gratitude & respect

First Unitarian Church of Victoria