Eliot Unitarian Chapel - Kirkwood, MO: Registration (Birth

Eliot Unitarian Chapel: Children's Registration
Birth through 6th Grade

2022-2023

Eliot Chapel parents & guardians are asked to complete a registration form each year for children actively participating in Eliot Religious Education activities. Having up-to-date information enables us to more effectively plan our program offerings, helps us keep you informed about church events and activities throughout the year, and, most importantly, helps keep children safe while under the supervision of Religious Education staff and lay leaders.

Please note that in 2022-23, “children” are defined as individuals in ages/grades birth through 6th grade, OR the homeschool equivalent.

Financial Expectations

The Religious Education (RE) program depends on the generous financial contributions of Eliot Chapel members and friends through their annual pledges to the church's operating budget. From time to time, a fee may be charged for a specific activity or event.

It is the expectation that parents and guardians of participating children and youth will support the congregation, to the best of their ability, through an annual pledge to Eliot Chapel.

If you have not made a financial pledge for 2022-23, go to the Giving page for ways to set up your pledge.

For questions, or if you need more information about annual pledges, please contact the Director of Finance & Operations Camille Novak at admin@eliotchapel.org.

* Required

Errors

Mask Expectations (as of July 2022): Eliot children aged two and older, youth, and adult members, friends, staff, and volunteer leaders who are attending or participating in in-person activities are required to wear a mask indoors at all times. These should be surgical masks, KN95 or N95 masks. Cloth masks are not permitted at this time. Surgical masks for adults and children are available at the church. Masks are optional during outdoor activities (as of July 2022). Mask expectations are subject to continual review throughout the year as Covid-related circumstances change. *

I understand the Mask Expectations

Vaccine Expectations (as of July 2022): It is the expectation of Eliot leadership that all individuals who are eligible to receive Covid vaccines will do so prior to attending or participating in in-person activities, including adult members, friends, staff, children, and youth. Boosters are strongly recommended for those eligible. Vaccine expectations are subject to continue review throughout the year as Covid-related circumstances change. *

I understand the Vaccine Expectations

First Parent/Guardian's Info. (Child/Youth's Primary Contact Information)

First Name *

Last Name *

Relationship to Child/Youth

Address Line 1 *

Address Line 2

City *

State *

ZIP Code *

Email Address *

Primary Phone Number *

Alternate Phone Number

Text Message Number

I am interested in receiving updates and reminders via text message.

Yes

No

Parent/Guardian Date of Birth (for administrative purposes): MM/DD/YYYY

Second Parent/Guardian Info. (if applicable)

First Name

Last Name

Relationship to Child/Youth

Address (if different from primary parent/guardian)

Email Address

Primary Phone Number

Alternate Phone Number

Text Message Number

I am interested in receiving updates and reminders via text message.

Yes

No

Parent/Guardian Date of Birth (for administrative purposes): MM/DD/YYYY

Are there any details related to your child’s family situation or living arrangements which would be helpful for us to know and consider (custody arrangements, family situations, extensive travel, foster care, children in caregiver role, etc.)? Note that this information will be held in confidence by the Religious Education staff, relevant RE lay leaders, and their supervisors.

Individuals authorized for pick-up: Please list the adults who are authorized to pick up and sign-out your child(ren) from Eliot Chapel Religious Education activities. If your child has an older sibling(s) who you wish to have check your child(ren) out of the program, please let the staff know so we can collaborate about the situation. Children will only be released to these individuals unless other arrangements are made in advance with the Religious Education staff.

Image Use Procedure: The Religious Education (RE) program takes photos of children and youth during classes, group gatherings, and other chapel events to use for congregational purposes, including Eliot Chapel publicity (both print and electronic), and display on church bulletin boards. Please note that children and youth are not identified by name in electronic publications unless parents/guardians are specifically contacted in advance and provide approval. Parents/guardians may request an "Opt Out" form if they do not wish for their child's photo to appear in publicity. Forms may be requested by sending an email to children@eliotchapel.org *

I understand the Eliot Unitarian Chapel Image Use Procedure.

Worship Livestream Disclaimer: Eliot Unitarian Chapel livestreams Sunday worship services via YouTube, the Eliot website, and official Eliot Facebook pages. On Sundays when children are present in the sanctuary for worship services, it is POSSIBLE, depending on where they’re sitting, their image will be included on the livestream via these platforms. If you have concerns about your child or youth’s image appearing on the livestream, please contact Scott at scott@eliotchapel.org. *

I understand this disclaimer.

Eliot Chapel’s ministry, both within and beyond the Religious Education program, relies on the time and talents of many individuals every year. The opportunities below are some of our most-needed positions at the current time. Please indicate where you are willing and able to assist. All volunteers will be provided instructions and support throughout the year. Note that due to the ongoing Covid-19 situation, some of these roles may not be currently available, and new opportunities may emerge throughout the year.

Volunteer Opportunities: Check all that are of interest. The appropriate staff member or lay leader will contact you.

Religious Education Teacher (children’s program)

Youth Program Volunteer (grades 8-12 in 2022-23)

Special Events Volunteer

Hosting “Online Coffee Hour” on Sundays

Hosting “In-Person Coffee Hour” on Sundays

Sunday Greeter before and during worship services

General Office Assistance & Clerical Support

Website Support

Outdoor Gardening on Eliot property

Welcoming Guests

Eliot Unitarian Chapel offers numerous opportunities for members and friends of all ages to participate in congregational life. Below are just a few of the ministry opportunities available. Please indicate if you are interested in learning more about these opportunities and the appropriate staff member or lay leader will contact you.

Check this box if you are interested in learning about opportunities for ADULTS to participate in the Eliot Chapel Music Program (Adam Kosberg will contact you).

Check this box if your child(ren) or youth is interested in learning about music opportunities at Eliot (Adam Kosberg will contact you).

Check this box if you are interested in learning about Covenant Group ministry at Eliot Chapel.

Check this box if you would like to be added to the Religious Education Parent & Caregiver Group on Realm (Eliot’s online database and platform).

Parents & caregivers, we invite you to share any special hobbies, interests, passions, and talents YOU have and may wish to share with others at Eliot. Possible examples include, but aren’t limited to, things like cooking, music, astronomy, photography, dance & gymnastics, yoga, gardening/planting, sports, passionate about Climate Justice, participating in Social Justice marches, etc. Having an idea of YOUR interests is helpful for future planning.

Please complete the following information for each participating child (birth-7th grade) in your family.

Child/Youth #1 to be registered

First Name *

Last Name *

Date of Birth *

Age as of August 1, 2022 *

Grade in school for 2022-2023 or home school equivalent (for kindergarten and older)

School/District attending (if applicable)

Youth Phone/Text number (for 8-12 grade youth only)

Youth Email Address (8-12 grades only)

Does your child/youth play a musical instrument or have a special talent? If so, please indicate.

Does your child/youth have any health concerns, dietary restrictions, allergies and special needs, or other concerns we should be aware of? If yes, please indicate.

Is there anything else about your child you would like for the Religious Education staff and volunteers to know which may be helpful in our ministry together this year (responses will be held in confidence by the RE staff, relevant RE volunteers, and their supervisors)?

Child/Youth #2 to be registered

First Name

Last Name

Date of Birth

Age as of August 1, 2022

Grade in school for 2022-2023 or home school equivalent (for kindergarten and older)

School/District attending (if applicable)

Youth Phone/Text Number (for 8-12 grade youth only)

Youth Email Address (8-12 grades only)

Does your child/youth play a musical instrument or have a special talent? If so, please indicate.

Does your child/youth have any health concerns, dietary restrictions, allergies and special needs, or other concerns we should be aware of? If yes, please indicate.

Is there anything else about your child you would like for the Religious Education staff and volunteers to know which may be helpful in our ministry together this year (responses will be held in confidence by the RE staff, relevant RE volunteers, and their supervisors)?

Child/Youth #3 to be registered

First Name

Last Name

Date of Birth

Age as of August 1, 2022

Grade in school for 2022-2023 or home school equivalent (for kindergarten and older)

School/District Attending (if applicable)

Youth Phone/Text Number (for 8-12 grade youth only)

Youth email address (8-12 grades only)

Does your child/youth play a musical instrument or have a special talent? If so, please indicate.

Does your child/youth have any health concerns, dietary restrictions, allergies and special needs, or other concerns we should be aware of? If yes, please indicate.

Is there anything else about your child you would like for the Religious Education staff and volunteers to know which may be helpful in our ministry together this year (responses will be held in confidence by the RE staff, relevant RE volunteers, and their supervisors)?

Child/Youth #4 to be registered

First Name

Last Name

Date of Birth

Age as of August 1, 2022

Grade in school for 2022-2023 or home school equivalent (for kindergarten and older)

School/District Attending (if applicable)

Youth Phone/Text Number (for 8-12 grade youth only)

Youth Email Address (8-12 grades only)

Does your child/youth play a musical instrument or have a special talent? If yes, please indicate.

Does your child/youth have any health concerns, dietary restrictions, allergies and special needs, or other concerns we should be aware of? If yes, please indicate.

Is there anything else about your child you would like for the Religious Education staff and volunteers to know which may be helpful in our ministry together this year (responses will be held in confidence by the RE staff, relevant RE volunteers, and their supervisors)?

Child/Youth #5 to be registered

First Name

Last Name

Date of Birth

Age as of August 1, 2022

Grade in school for 2022-2023 or home school equivalent (for kindergarten and older)

School/District Attending (if applicable)

Youth Phone/Text Number (for 8-12 grades only)

Youth Email Address (8-12 grades only)

Does your child/youth play a musical instrument or have a special talent? If so, please indicate.

Does your child/youth have any health concerns, dietary restrictions, allergies and special needs, or other concerns we should be aware of? If yes, please indicate.

Is there anything else about your child you would like for the Religious Education staff and volunteers to know which may be helpful in our ministry together this year (responses will be held in confidence by the RE staff, relevant RE volunteers, and their supervisors)?