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.Format: (000) 000-0000.
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?
We would love to reach out and get better acquainted with you through additional contact!
I agree that the above stated information is correct.
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