Family Name


Parent/Guardian Name(s)


Child 1 Name


Child 1 Age Child 1 Birthday Child 1 Grade

Child 2 Name


Child 2 Age Child 2 Birthday Child 2 Grade

Child 3 Name


Child 3 Age Child 3 Birthday Child 3 Grade

Child 4 Name


Child 4 Age Child 4 Birthday Child 4 Grade

Street Address


City State Zip Code

Phone Email

Are you an OVBC church member?


How did you hear about KidStuf and/or UpStreet?


May we have permission to photograph your child(ren)?


May we have permission to use your child's photograph in church publications if we do not use their name?


List the name(s) of your child(ren) that attend the Upstreet Sunday School program for K - 5th graders.


Who is authorized to pick up your child(ren)?


List any health concerns/allergies for each of your children.


Would you be interested in volunteering in Kidstuf?


Comments/Questions