Family Information

Welcome to The Church at Brook Hills. We are glad you are worshiping here with us this weekend.

• We are visiting

  • For the first time
  • From out of town
  • For today only

Parent/Guardian Information

• Parent/Guardian 1 Full Name
• Relationship

  • Dad
  • Mom
  • Grandparent
  • Foster Parent - Respite Care
  • Foster Parent - Permanent Placement
  • Other
• Relationship
• Cell Phone
• Date of Birth
• Email Address
• Marital Status

  • Married
  • Single
  • Divorced
  • Separated
  • Widowed
• Household Address
• City, State Zip Code
• Parent/Guardian 2 Full Name
• Relationship

  • Dad
  • Mom
  • Grandparent
  • Foster Parent - Respite Care
  • Foster Parent - Permanent Placement
  • Other
• Relationship
• Cell Phone
• Date of Birth
• Email Address

Child Information

• Child 1 Full Name
• Child 1 Nickname (if applicable)
• Child 1 Date of Birth
• Child 1 Gender

  • Male
  • Female
• Child 1 Grade PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
• Child 1 Allergies/Special Needs
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• Child 2 Full Name
• Child 2 Nickname (if applicable)
• Child 2 Date of Birth
• Child 2 Gender

  • Male
  • Female
• Child 2 Grade (if applicable) PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
• Child 2 Allergies/Special Needs
• Add another child
• Child 3 Full Name
• Child 3 Nickname (if applicable)
• Child 3 Date of Birth
• Child 3 Gender

  • Male
  • Female
• Child 3 Grade (if applicable) PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
• Child 3 Allergies/Special Needs
• Add another child
• Child 4 Full Name
• Child 4 Nickname (if applicable)
• Child 4 Date of Birth
• Child 4 Gender

  • Male
  • Female
• Child 4 Grade (if applicable) PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
• Child 4 Allergies/Special Needs
• Add another child
• Child 5 Full Name
• Child 5 Nickname (if applicable)
• Child 5 Date of Birth
• Child 5 Gender

  • Male
  • Female
• Child 5 Grade (if applicable) PreschoolKindergarten1st2nd3rd4th5th6th7th8th9th10th11th12th
• Child 5 Allergies/Special Needs
• Add more children
• Please list children's names, date of birth, gender, grade (if applicable) and allergies or special needs here:
• Other notes about your family or children
• Please register our family with

  • Preschool Ministry
  • Kids Ministry
  • Student Ministry

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  Checking this box allows you to receive regular emails from Brook Hills concerning the selected ministries.
• We are here for

  • Sunday 9 AM *
  • Sunday 11 AM *
  • Wednesday 6:30 PM *

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  Children in grades Kindergarten thru 5th grade may only attend one small group on Sunday morning. Birth thru age 4 may stay for both services.