Child Registration 2025-2026

Information received is confidential and is being gathered for the purposes of serving your Child while in the care of Unionville Alliance Church. Any medical information collected here serves to authorize Unionville Alliance Church, and its staff and volunteers, to obtain medical assistance in emergencies. In the case of custody agreements, please include the proper form authorizing Parental contacts.

Unionville Alliance Church is collecting and retaining this personal information for the purpose of enrolling your Child in our programs, to assign your Child to the appropriate classes, to develop and nurture ongoing relationships with you and your Child, and to inform you of program updates and upcoming opportunities at Unionville Alliance Church. This information will be maintained indefinitely as it is a requirement of our insurance company and legal counsel. If you wish Unionville Alliance Church to limit the information collected, or to view your Child's information, please contact us.

Please enter your name (parent/guardian's name) in the "Your Name" section. Then, add your children in the "Household Members" section. 

We want to make sure we have all the information necessary to best serve your child! For the medical notes section, please make sure to include any allergies or behavioral concerns. 

I/we, the Parents or guardians named below, authorize Unionville Alliance Church Ministry Personnel to sign a consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment or procedures for the participant named above, if I/we are unavailable. I/we, named below, undertake and agree to indemnify and hold harmless Ministry Personnel, Unionville Alliance Church, and its Leaders from and against any loss, damage or injury suffered by the participant as a result of being part of the activities of Unionville Alliance Church, as well as of any medical treatment authorized by the supervising individuals representing Unionville Alliance Church. This consent and authorization is effective only when participating in or traveling to events sponsored by Unionville Alliance Church.

I give Unionville Alliance Church permission to use photographs, video or electronic images of my Child(ren)/Youth. I authorize Unionville Alliance Church to copyright, use and publish the media for any lawful purpose to highlight or promote Unionville Alliance Church. By checking this box and signing I indicate that I have read and understood the above release.

Family and friends, are you interested in volunteering to help build the kingdom? We are in need of adult and youth volunteers to run our ministry successfully. Please select all that are applicable. 

At Power Up! we want to see every child experience the wonderful love of Jesus and develop a relationship with Him! We have a variety of roles where you can develop your skills and gifts to help serve our families at UAC whether on Sunday mornings or throughout the week or behind the scenes.

Please note, this only indicates interest. Details will be provided. Only individuals who have been attending for over a year, complete training and are properly screened will be allowed to engage with children. 

Final Notes

Upon completion of this form, you will receive:
  1. A mobile barcode pass. Please download this pass to your phone. You can use this pass to check your child into PowerUp! on Sundays on our iPads. 
  2. An email request to complete the "Signature of Release" form. Please sign this form on Jotform to complete your child's registration. 

Questions? Contact AllisonA@uachome.org.