FAMILY REGISTRATION FORM

Please enter parent's information first and then child(ren)'s information.

Your name *

Email address *

Phone number *

Address *

Gender *

Birthdate *

Relationship to child(ren): *

Household members

Does your child have any special needs?

If your child(ren) have any special needs, a member of our NextGen team will contact you to discuss what those special needs are so that we can assist in making their experience a good one.

Superhero Form

Please click this link and complete the Superhero Form so we can get to know your child better. https://lighthousepcb.churchcenter.com/people/forms/904580

Text Updates

By providing your phone number, you authorize text messaging from Lighthouse Church. You may choose to opt out at any time, however, please note that this is our primary form of communication for important church-wide updates and important volunteer team information.