Your Child's Name: *

First Name

Last Name

Your Child's Birthday: *

MM

DD

YYYY

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

Country

(###)

###

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Phone *

Country

(###)

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Otley Kids Programs *

Select all that apply:

Nursery

Discovery Hour (3yr-5th Sunday School)

Ignite (6th-12th Sunday School)

Take T.W.O. (3yr - 2nd Wednesday Nights)

GEMS (Girls: 3rd-8th Wednesday Nights)

Cadets (Boys: 3rd-8th Wednesday Nights)

I give permission for my child's picture to be used online and in published documents related to Otley Church. *

Yes

No