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 2nd Student

Month Day Year
Grade 2nd Student
3rd Student Name

First Name Last Name
Birthdate 3rd Student

Month Day Year
Grade 3rd Student
Information
Address

Street Address

Street Address Line 2

City State

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

First Name Last Name
Mother's Cell Phone

Area Code Phone Number
Mother's Employer
Work Phone

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

First Name Last Name
Father's Cell Phone

Area Code Phone Number
Father's Employer
Work Phone

Area Code Phone Number
Father's Email
example@example.com
Home Phone

Area Code Phone Number
Emergency Contacts
Emergency Contact Name 1

First Name Last Name
Primary Phone

Area Code Phone Number
Secondary Phone, if applicable

Area Code Phone Number
Emergency Contact Name 2

First Name Last Name
Primary Phone

Area Code Phone Number
Secondary Phone, if applicable

Area Code Phone Number
Emergency Contact Name 3

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:
Pick up allowed by:

First Name Last Name
Pick up allowed by:

First Name Last Name
Pick up allowed by:

First Name Last Name
Additional people allowed to pick up my child.
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
Volunteer Information

How can you help?
Your church name
I would like to join the Development Committee

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 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

Volunteer Information