CHILD REGISTRATION
Please complete registration form for all children from Birth - Middle School. Our system requires distinct email and cell phone numbers for each parent/guardian. For single parent households, please put NA in the first and last name and repeat email and cell of the primary parent/guardian.
BY SUBMITTING REGISTRATION, YOU ACKNOWLEDGE THE FOLLOWING:
All ministries and activities adhere to BCC's Statement of Faith and established guidelines; parents/guardians are expected to become familiar with all documents related to Children's Ministry.
On occasion we take pictures/videos of church functions and events, which we share with our church in a variety of ways, including our website and social media. BCC will not tag or otherwise identify any child, nor will we sell any of your information.

Father/Guardian Name

First Name

Last Name

Phone Number

Birthdate

Mother/Guardian Name

First Name

Last Name

Phone Number

Birthdate

Family Address

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Are there any family issues we need to be aware of?

Yes

If Yes, Please provide relevant details

Child Registration

First Name

Last Name

Gender

Birthdate

Grade

Does your child have an Allergy or Medical/Social/Emotional/Physical issues/concerns?

Add Child

Yes

Child Registration

First Name

Last Name

Gender

Birthdate

Grade

Does your child have an Allergy or Medical/Social/Emotional/Physical issues/concerns?

Add Child

Yes

Child Registration

First Name

Last Name

Gender

Birthdate

Grade

Does your child have an Allergy or Medical/Social/Emotional/Physical issues/concerns?

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