OA Kids Pre-Registration

Parent/Guardian Information
Father's First & Last Name*

First NameLast Name
Mother's First & Last Name*

First NameLast Name
Parent/Guardian Phone Number*
Please enter a valid phone number.
Parent/Guardian Email Address*
example@example.com
Home Address*

Street Address

Street Address Line 2

CityState

Zip Code
How many kids do you need to register?*
Child Information
Child's First & Last Name*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Grade Level*
Any Medical or Allergy Concerns*
Child Information
Child's First & Last Name*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Grade Level*
Any Medical or Allergy Concerns*
Child Information
Child's First & Last Name*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Grade Level*
Any Medical or Allergy Concerns*
Child Information
Child's First & Last Name*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Grade Level*
Any Medical or Allergy Concerns*
Child Information
Child's First & Last Name*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Grade Level*
Any Medical or Allergy Concerns*
Child Information
Child's First & Last Name*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Grade Level*
Any Medical or Allergy Concerns*
Child Information
Child's First & Last Name*

First NameLast Name
Gender*
Date of Birth*

MonthDayYear
Grade Level*
Any Medical or Allergy Concerns*
For Your Children's Safety
Who has permission to pick up your child/children?*
Is there anyone who does not have permission to pick up your child/children?*
Any custody arrangements that we should be made aware of?*
Does OA Kids have permission to take photos and/or videos of your child/children to be used on the church website and any of the church's social media accounts?

YesNo
We would love to reach out and get better acquainted with you through additional contact!

Yes, I would like to learn more about OAGNo, not at this time
I agree that the above stated information is correct.*

Clear
Should be Empty:

Parent/Guardian Information

Child Information

Child Information

Child Information

Child Information

Child Information

Child Information

Child Information

For Your Children's Safety