Oasis - Official Youth Program - Registration Form
CHILD INFORMATION:
Child's Name
*
First Name
Last Name
Age
*
Please Select
4 Wait List
5 Wait List
6 Wait List
7 Wait List
8 Wait List
9 Wait List
10 Wait List
11 Wait List
12 Wait List
Next year grade
*
Please Select
Pre - Wait List
KG - Wait List
1 - Wait List
2 - Wait List
3 - Wait List
4 - Wait List
5 - Wait List
6 - Wait List
7 - Waitlist
Gender
*
Male
Female
Other Children you want to enroll (FN, LN, Age,Gender, Grade)
Ok to share pictures of your children's activities with other parents on FB?
*
Yes
No
PARENT INFORMATION:
Primary Contact name
*
First Name
Last Name
Primary Cell Phone Number
*
-
Area Code
Phone Number
Primary Email Address
*
Secondary Contact Name
*
First Name
Last Name
Secondary Phone Number
*
-
Area Code
Phone Number
Secondary E-mail
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Other emergency contacts (optional)
MEDICAL INFORMATION
Medical Concerns including food allergies (use NA if there are none)
*
Any other info/comments/special requests
Submit Form
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