Otsego Christian School Registration Form

Student Information
Student Name

First Name Last Name
Birthdate

Month Day Year
Grade
Additional Students

Skip to Information Section if you have one student
2nd Student Name

First Name Last Name
Birthdate

Month Day Year
Grade
3rd Student Name

First Name Last Name
Birthdate

Month Day Year
Grade
Information

Address

Street Address
Street Address Line 2
City	State
Zip Code	Country

Daily Transportation
Parent/Guardian Pick-up, Bus to home, Bus to daycare, etc.
Mother/Guardian

First Name Last Name
Cell Phone

Area Code Phone Number
Mother's Employer
Work Phone

Area Code Phone Number
Email
example@example.com
Father/Guardian

First Name Last Name
Cell Phone

Area Code Phone Number
Father's Employer
Work Phone

Area Code Phone Number
Email
example@example.com
Home Phone

Area Code Phone Number
Emergency Contacts
Name

First Name Last Name
Primary Phone

Area Code Phone Number
Secondary Phone, if applicable

Area Code Phone Number
Name

First Name Last Name
Primary Phone

Area Code Phone Number
Secondary Phone, if applicable

Area Code Phone Number
Name

First Name Last Name
Primary Phone

Area Code Phone Number
Secondary Phone, if applicable

Area Code Phone Number
Who has permission to pick-up student/s:
Name

First Name Last Name
Name

First Name Last Name
Name

First Name Last Name
Additional Names:
Medical Needs
Allergies w/ Student Name Indicated
Indicate None or N/A if not applicable
Allergies w/ Student Name Indicated
Indicate None or N/A if not applicable
Allergies w/ Student Name Indicated
Indicate None or N/A if not applicable
Other Medical Needs
Indicate None or N/A if not applicable
Additional Information about Child
Anything else you would like us to know about your child?
Volunteer Information

How can you help?
Your church name
I would like to join the PTF (Parent Teacher Fellowship)

Yes No I would like more information
I would like to join the Auction Team

Yes No I would like more information
I would like to be on the Board of Directors

Yes No I would like more information
I can be a substitute teacher:

Yes No I would like more information
I could help with: click all that apply

All/Any-Just call! Fall Fundraiser Spring Fundraiser Bake Goods Lunch Aide Librarian Office Volunteer Classroom Help Maintenance Lawn/grounds work Shovel Snow
I have a business or special skill that could help OCS:
Examples: electrician, plumber, contractor, accountant, etc.
Someone close to me has a special skill that could help OCS:
Example: My dad is a plumber...
Should be Empty:

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Student Information

Additional Students

Information

Emergency Contacts

Who has permission to pick-up student/s:

Medical Needs

Additional Information about Child

Volunteer Information