RECY Registration 2023-2024

Parent/Guardian Name

Name of child/children

Relationship to child

Secondary Parent/Guardian (if applicable) It is only necessary to provide contact information for a parent/guardian that will be attending Tapestry with the child

Primary Email

This address will receive a confirmation email

Secondary Parent/Guardian email (if applicable)

Primary cell phone

Secondary Parent/Guardian cell phone (if applicable)

Address

The RECY program requests that, when possible, families donate to the program in order to help cover costs. There is a suggested donation of $60 per child, or $85 per family. If you would like to make a partial donation or pay via cash or check, please bring it, along with this printout, into Tapestry

The staff and adults volunteering in the RECY program make every effort to provide a happy, safe environment for each child. I understand that volunteers of Tapestry, a Unitarian Universalist Congregation, do not assume legal liability for the above mentioned youth(s) and I hereby release them of such liability

Yes

I would like to volunteer for the RECY program in some capacity Yes No

I grant permission for photographic/video images of my youth(s) to be used for public display

I understand that if any child is behaving in a manner that is disruptive or unsafe to themselves or others, they will be escorted back to their family

Yes

Child #1 Last Name/First Name/Birthday/Musical Instruments/Special Interests

Child #1 Age/Grade

Child #1 Information. Description (optional). Please list any allergies, special needs, etc.

Child #2 Last Name/First Name/Birthday/Musical Instruments/Special Interests

Child #2 Age/Grade

Child #2 Information. Description (optional). Please list any allergies, special needs, etc.

Child #3 Last Name/First Name/Birthday/Musical Instruments/Special Interests

Child #3 Age/Grade

Child #3 Information. Description (optional). Please list any allergies, special needs, etc.

Child #4 Last Name/First Name/Birthday/Musical Instruments/Special Interests

Child #4 Age/Grade

Child #4 Information. Description (optional). Please list any allergies, special needs, etc.

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Tapestry is a cooperative, volunteer-led Religious Education program. Its success depends on the talents and energy of our congregation. We kindly request a donation to help cover the cost of supplies. We look forward to working with your child/youth. Thank you for your participation.

RECY Registration 2023-2024

Description

Please Fix the Following