SNO@UU 2026 Registration

Child's Name

Child's Preferred Name

Age on 9/17/2026

Child's Pronouns

School

Grade in September 2026

Week 1 (Aug 17-21)

Yes No

Week 2 (Aug 24-28)

Yes No

Will you need before care? If yes you will receive a separate registration form.

Yes No

Will you need after care? If yes you will recive a separate registration form.

Yes No

Parent/Guardian # 1 Name

Address

This address will receive a confirmation email

Phone

Parent/Guardian #2

Phone #2

Email #2

Participant Information

I give permission for my child to attend SNO@UU, a summer program held at First Parish Brewster.

I agree.

Health Insurance Company and ID#

Medical Release: I authorize SNO@UU staff and volunteers to secure prompt medical treatment in the event of sudden illness or injury for child named above.

Yes

Does your child have any medical issues that we should be aware of?

Does your child require an Epipen or rescue inhaler in the case of emergency? If so, please indicate. We will email you the Authorization to Administer Medication Form separately.

Please tell us anything that would be helpful to know about your child. Please note that we use this information so that we can provide accommodations as needed.

I agree to hold harmless First Parish Brewster, its employees, and volunteers from any and all claims resulting in any loss (such as physical injury, illness or economic loss) my child may suffer or which may result from their participation in these activities, travel to and from these activities, or any events incidental to these activities. I assume all risks of my child’s participation

I agree.

Photo Permission: Photos are a way to share the joy of the SNO@UU with families and First Parish Brewster. Do you give permission for photographs (Excluding Names) of your child to appear on the FPB website, brochure, social media pages, and church event slide shows?

Yes No

A non-refundable deposit of $100 towards your balance is required today

I understand that this registration and receipt of deposit will hold a place for my child in the summer program at First Parish Brewster UU. My non-refundable $100 deposit will be put towards the balance of the total fees.

Yes

SNO@UU fees are on a sliding scale. Please enter the amount you are able to pay between $325 to $425 per week.

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

SNO@UU 2026 Registration

Description

Please Fix the Following