Westminster Unitarian Church SEEK Program Registration (2026-2027)
Please fill out this form and click submit.
Please fill out this form for each child or youth you are interested in enrolling in the program.
Guardian's Name (First and Last)
*
Email
*
This address will receive a confirmation email
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Phone
*
Is this a mobile number?
*
Please select one option.
Yes
No
Do we have permission to text this number about SEEK issues?
*
Please select one option.
Yes
No
Emergency contact (if different from primary guardian)
Emergency Contact Phone Number
*
Child/Youth Name
*
Pronouns (ex. she/her, he/him, they/them, ze, zir, etc.)
*
Date of birth
*
Grade Entering in Fall 2026
*
Please select one option.
Pre-K
K-3
4-6
7-9
10-12
Select Option
Pre-K
K-3
4-6
7-9
10-12
Allergies?
Other accessibility / medical needs:
Media Release: WUC may use images of children at church events and classes/ groups for use such as brochures, bulletin boards, newsletters, or other similar communications. Individual children are never identified by name.
*
Please select one option.
I grant WUC permission to use images of my child.
I do not grant WUC permission to use images of my child.
Parents/Guardians: The RE program relies on the time and talents our volunteers. Please check any/all that you would be interested in assisting with:
*
Please select all that apply.
Pre-K
K-3
4-6
7-9
10-12
All Ages Special Events / Projects support
None of the above
Comments
Submit
Description
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