First UU Covenant Group Registration Form
artwork by Sandy Aska
Personal Information
Name [required]:
Address (City, State, Zip):
Phone [required]:
Email [required]:
Preferred time to be contacted:
Information about yourself (check all that apply)
I am a member or Friend of this church (Click if YES)
I have attended at least 3 Sunday services (Click if YES)
I receive and read the newsletter Discoverer (Click if YES)
I have attended a "Getting To Know UU" session (Click if YES)
I have participated in the Adult Enrichment Program (Click if YES)
Other Information (check all that apply)
I can offer my home as an occasional meeting location (Click if YES)
I need child/adult care (Click if YES)
I need a sign language (ASL) interpreter (Click if YES)
I have other ADA needs (Click if YES and describe below)
I have transportation needs (Click if YES and describe below)
I have other requirements to participate (Click if YES and describe below)
Anything else we need to know? Special needs, instructions or information? (fill in below) List the name of any individual you need to have in your covenant group for a specific reason (such as your reliance on them for transportation). That person must also be registered. Please include their name and the reason you need them.
Using both sections below, please indicate your availability. Mark as many as are possible for you.
(Meetings 1st and 3rd weeks of the month)
(Meetings 2nd and 4th weeks of the month)
Registration is ongoing- new groups are formed as needed. Thank you for your interest. The Covenant Group Steering Team
Direct questions to: First UU Office (phone: 614-267-4946) or email _uucovenantgroups@firstuucolumbus.org ( Note: remove initial underscore from email address before sending email. )
revised 2007-12-09 2327 kco
