Language
English (US)
Student Information
Student Name
First Name
Last Name
Birthdate
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
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16
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20
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23
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25
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28
29
30
31
Day
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Grade
3 yr preschool
4 yr preschool
5 yr - Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Additional Students
Skip to Information Section if you have one student
2nd Student Name
First Name
Last Name
Birthdate 2nd Student
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Grade 2nd Student
3 yr preschool
4 yr preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
3rd Student Name
First Name
Last Name
Birthdate 3rd Student
January
February
March
April
May
June
July
August
September
October
November
December
Month
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Grade 3rd Student
3 yr preschool
4 yr preschool
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Information
Address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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...
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