First United Church of Christ Sauk City

Christian Education Registration for 2023-24

Name (Required)

Email Address (Required)

Student Name: (Required)

Parent/ Guardian Name(s) (Required)

Your Phone Number (Required)

Your Address (Required)

Age of student (Required)

Birthday (Required)

Grade in School (Required)

Preferred Family Email for Communication (Required)

Emergency Contact and their phone number (Required)

In the event of an emergency, who do we contact? Phone number?

Allergies or Medical Info (Required)

Special Needs that may limit participation in Christian Education Programming (Required)

What is your T-Shirt Size? (Required)

Youth Small

Youth Medium

Youth Large

Youth Extra Large

Adult Small

Adult Medium

Adult Large

Adult Extra Large

Are you a member of First UCC Sauk City? (Required)

Does First UCC Sauk City have permission to take pictures/ videos of your child for the use in church publications? (Required)

Examples: website, newsletter, special events info.

Do you need help with Tuition? (Required)

If no, please include tuition payment of $50 cash or check made out to First UCC Christian Education program with name of student(s) in the memo

How are you able to help? (Required)

Teach, volunteer for a special event, etc.

First United Church of Christ Sauk City

504 Washington Ave. , Sauk City, WI 53583