YFM Student Registration

Please fill out this form and click submit.

Student

First and Last Name

Date of Birth

Pronoun

Please select one option.

He/his She/her They/them

Allergies

Special needs or sensitivities e.g. Autism, ADHD

Current school grade, 2024-2025: Pre-K-12

Address

Sunday Service Emergency #

I grant permission for Unity Renaissance to publish photos and videos of my child, such as on their website and social media platforms.

Please select one option.

Yes No

If child is in Uniteens (middle schoolers), do you grant permission for your child to self-sign out when service is over?

Please select one option.

Yes No N/A

Parent/Guardian 1

First and Last Name

Phone

This address will receive a confirmation email

Would you like to recieve important updates via email? e.g. class cancellation, special events

Please select one option.

yes no

Would you like to receive important updates via text? e.g. class cancellation, special events

Please select one option.

Yes No

Areas you would be interested in serving

Please select all that apply.

Teacher/assistant Check-in greeter Guest teacher e.g. read a story, lead a craft Special event planning Decorating hall/classroom Marketing/social media None of the above

Parent/Guardian 2

First and Last Name

Phone

Would you like to receive important updates via email? e.g. class cancellation, special events

Please select one option.

Yes No

Would you like to receive important updates via text? e.g. class cancellation, special events

Please select one option.

Yes No

Description

Please fill out this form and click submit.

YFM Student Registration

Description

Please Fix the Following