OWL registration form

Participant 1
OWL Participant Full Name*

FirstLastpronouns
Participant's preferred name/nickname
If other than their first name above
Date of Birth*

MonthDayYear
Date
Please select grade level for the 2025/26 school year*
Are there any allergies/medical needs we should be aware of?*

YesNo
Please describe. This information will only be shared with program volunteers who need to know in order to support this person.
How can we best support this person's learning and participation in OWL?
What type of learner is this person? How do they best engage? What kinds of environments suit them best?
Do you have any concerns/questions you would like to share?
Are there specific curriculum requests or concerns?

Participant 2
OWL Participant Full Name*

FirstLastpronouns
Participant's preferred name/nickname
If other than their first name above
Date of Birth*

MonthDayYear
Date
Please select grade level for the 2025/26 school year*
Are there any allergies/medical needs we should be aware of?*

YesNo
Please describe. This information will only be shared with program volunteers who need to know in order to support this person.
How can we best support this person's learning and participation in OWL?
What type of learner is this person? How do they best engage? What kinds of environments suit them best?
Do you have any concerns/questions you would like to share?
Are there specific curriculum requests or concerns?

Participant 3
OWL Participant Full Name*

FirstLastpronouns
Participant's preferred name/nickname
If other than their first name above
Date of Birth*

MonthDayYear
Date
Please select grade level for the 2025/26 school year*
Are there any allergies/medical needs we should be aware of?*

YesNo
Please describe. This information will only be shared with program volunteers who need to know in order to support this person.
How can we best support this person's learning and participation in OWL?
What type of learner is this person? How do they best engage? What kinds of environments suit them best?
Do you have any concerns/questions you would like to share?
Are there specific curriculum requests or concerns?

Participant 4
OWL Participant Full Name*

FirstLastpronouns
Participant's preferred name/nickname
If other than their first name above
Date of Birth*

MonthDayYear
Date
Please select grade level for the 2025/26 school year*
Are there any allergies/medical needs we should be aware of?*

YesNo
Please describe. This information will only be shared with program volunteers who need to know in order to support this person.
How can we best support this person's learning and participation in OWL?
What type of learner is this person? How do they best engage? What kinds of environments suit them best?
Do you have any concerns/questions you would like to share?
Are there specific curriculum requests or concerns?

Participant 4 End
Parent/Guardian Information
Parent/Guardian support is an integral part of the OWL program. How many parent/guardians will be supporting this/these individual(s) participation?*

1234

Parent/Guardian 2
Parent/Guardian 2

First NameLast Namepronouns
Does this person share:

Parent/Guardian 1 emailParent/Guardian 1 phoneParent/Guardian 1 address
Parent/Guardian 2 Email
example@example.com
Parent/Guardian 2 Phone Number
Please enter a valid phone number.
Parent/Guardian 2 Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
This address is the participant's Primary address

YesNo

P/G 4 End
Emergency Contacts
Emergency Contact 1*

First NameLast Name
Relationship to participant*
ex: friend, aunt, grandparent
Emergency Contact 1 Phone*
Please enter a valid phone number.
Emergency Contact 2

First NameLast Name
Relationship to participant
ex: friend, aunt, grandparent
Emergency Contact 2 Phone
Please enter a valid phone number.
Membership Information
Membership Status*

My family is a FPCB memberMy family is a member of another UU communityMy family is not a member of First Parish or another related community
What community are you a member of?
There is a $100 registration fee for participants outside of the First Parish Beverly Community. Financial Aid is available upon request.

I will pay the registration feeI would like to request financial aid
When you click "submit" you will be redirected to our secure payment portal. You do NOT need to create an account. Please select "OWL 2025-26" in the dropdown menu when you pay your $100 registration fee.
Should be Empty:

Participant Information