OWL 4-5 Registration

Parent / Guardian Name

This address will receive a confirmation email

Phone

Address

Who will be attending orientation (list names of adults and youth). Orientation is mandatory for youth and their parents / guardians.

Youth's name and grade

Youth's pronouns

We will be sharing hearty snacks at all sessions. Please list any food sensitivities/allergies

For each child, we ask for a donation of $50 to support program costs, including training of our facilitators. Check one of four options below for payment. No one is turned away because of finances.

Donation - Four choices - donate $50; donate another amount; pay by check; or need assistance

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

This is registration for Our Whole Lives Sexuality Education for grades 4-5. Parents / Guardians must attend orientation and sign a permission slip. The date for orientation is Sunday, January 11, 2026, 12:15 PM to 2:45 PM at the First Universalist Church in Rockland. Under certain circumstances, one parent can miss orientation. Speak to the program organizer if needed.

OWL 4-5 Registration

Description

Please Fix the Following