Basics/Basic Jr Child Registration
REGISTER BELOW
Child Info Page
*
Child
First Name
*
Child
Last Name
*
Child
Birth Date
* Grade in School
Select one
Kindergarden
1st
2nd
3rd
4th
5th
6th
*
Child
Gender
Female
Male
* Allergies/Medical concerns/Medications
Friend Request
* Basics/ Basics Jr. Registration Fees
Select one
Notebook with Lessons (Basics) ($15.00)
Lessons Only (Basics) ($10.00)
Basics Jr Registration ($10.00)
I need a scholarship ($0.00)
* I certify that photographs and/or videos of my child participating in church activities may be used in promotional materials for UCC, including our website and social media pages.
Select one
YES
NO
* Digital Signature
Add Another Child
Processing registration ...
Cancel
Register / Pay Later
Safari Users Click to Register
Chrome Users Click to Register