Sanctuary UCC

Congregational Church of West Medford dba Sanctuary UCC Logo

OWL Registration & Payment

Our Whole Lives (OWL) Sexuality Education • GRADES 5 & 6
with certified OWL facilitators Lynn Rosenbaum and Stephen Garschnia-Bobrow

Mandatory Parent & Child Orientation - January 29, 2023 (3:45 - 5:45 pm)
10 Youth Sessions - February 05, 2023 through April 30, 2023 (4:15 - 5:45 pm)
Program held onsite at Hillside Community Church, Medford.
Limited to 16 Youth, grades 5 or 6 (2022/2023 school year)
We will seek to create a gender-diverse class.

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For more details about the program, requirements, and Covid Protocols please review the full program description and calendar/schedule here.

If you have any questions, please email us at [email protected]. If you have more than one child, please fill out the registration form separately for each child.

Registration

Participant First Name

Participant Last Name

Grade in School 2022/2023

What School Does Your Youth Attend?

Is Your Youth Vaccinated?

What is Your Youth's Gender?

Anything else you want us to know about this participant?

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Parent 1 First Name

Parent 1 Last Name

Parent 1 Email

Parent 1 Cell

Parent 2 First Name

Parent 2 Last Name

Parent 2 Email

Parent 2 Cell

Anything else you want us to know about participant's family?

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How Did You Hear About This Program?

Registration Fees (Payment or payment arrangements must be made by January 5, 2023)

Please contact me to make confidential payment arrangements

Please contact me to make confidential scholarship arrangements

350.00 Registration Fee (Required)

$350 • 1 Item Limit

Only 2 left

$ 10.00 Materials Fee (required)

$10

It’s Perfectly Normal: Changing Bodies, Growing Up, Sex, Gender, and Sexual Health

$15

This book is required for the program and can be purchased here and provided at orientation or purchased elsewhere.

The Parent Guide to Our Whole Lives for K-1 and 4-6

$15

This book is optional, can be purchased here and provided at orientation or purchased elsewhere.

We Welcome Additional Donations to Support OWL Scholarships! (OPTIONAL)

Contact Information for Payment

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Donor hereby approves the payment of the charitable donation and/or purchase to Congregational Church of West Medford dba Sanctuary UCC and in the amount set forth herein.

OWL Registration & Payment

Registration

Registration Fees (Payment or payment arrangements must be made by January 5, 2023)

We Welcome Additional Donations to Support OWL Scholarships! (OPTIONAL)

Contact Information for Payment

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