Pre-Register Your Kids for Sunday

Your name *

Email address *

Phone number *

Address *

Primary campus *

Your relationship to the child(ren) you are registering *

Is the mother visiting Peavine? *

Does she attend another church?

Is the father visiting Peavine? *

Does he attend another church?

Emergency contact name and relationship *

Emergency contact phone # *

Household members

Authorization *

By signing this form electronically, I release Peavine Baptist Church of any liability in the event of an accident or illness and give permission for emergency medical treatment to be administered to my child. Please type your name in the box below.

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