2024 Fall Rally Online Registration | Unity Southwest Region

Name of Attendee (Teens and Adult Sponsors)

Unity Church You Attend

Grade of Attendee

Attendee phone number (optional)

Attendee Email

Parent Email (if attendee is a teen)

Parent Phone # if under 18

Gender (This helps us with cabin assignments. If transgender, please choose the gender you identify with. )

Male

Female

Non-Binary

Other…

Allergies

Dietary Request for this weekend

Normal

Vegetarian

Dairy Free

Gluten Free

Other…

Behavior/ Life Challenges and Recent Medical Incidences : Please list any challenges staff needs to know in order to support you better. Please note that our staff are volunteers, not professional medical personnel or therapists. 1:1 staffing is not available.

By typing your name on the line below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.