OASIS 2023-24 Registration
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First Name *
Last Name *
Participants current grade *
Required
birthdate *
Participant Contact Phone Number *
Please use this format: (810) 555-1212 OR type NA if you do not have a number you wish to share
Participant allergies we need to be aware of (please describe in detail) *
address
 *
City *
State *
Required
Zipcode *
contact name *
contact number *
Please use this format: (810) 555-1212
contact email *
alternate contact *
Please enter First and Last Name or type NA
phone number *
Please use this format: (810) 555-1212 or enter NA
Please share any additional information our OASIS staff should be aware of for your son / daughter. You can enter NA if there is nothing additional to share.
By printing my name below as the parent or guardian, I am granting my permission for my son or daughter listed on this registration to participate in the OASIS After School Program and all of its components at Hope Lutheran Church. I understand that the OASIS program staff will take attendance weekly as students arrive but parents are NOT required to check their son or daughter out at the end of the program. I further understand that if we cannot be reached in the event of an emergency, and medical treatment is required, the OASIS program staff will contact emergency services to seek treatment for my son or daughter if needed.
 *
My son or daughter has permission to walk with an Oasis volunteer or ride the bus to Hope Lutheran Church for Oasis.
 *
Please Note: If you select No, your son/daughter must speak with our Oasis Coordinator, Kim Colmer to make other arrangements IN ADVANCE of attending.
My son or daughter may have their picture taken or be videotaped during their time at Oasis. I understand this may be used on Facebook or in other ways to specifically promote Oasis.
 *
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