Burnt Hickory FastPass

THIS IS FOR FIRST TIME VISITORS TO BHBC KIDS ONLY...

We are so glad you have decided to visit BHBC Kids! In order to make your first visit more enjoyable and to save you time when dropping off your child, please complete this form.

IMPORTANT:  Please include a parent/guardian cell phone # for emergency contact before clicking submit.

You’ll receive a confirmation email, and we look forward to having your children worship with us Sunday morning!

*Parent or Legal Guardian First Name:
*Parent or Legal Guardian Last Name:
*Parent or Legal Guardian Marital Status:
*Parent or Legal Guardian Email Address:
*Parent or Legal Guardian Cell Phone Number xxxxxxxxxx:
2nd Parent or Legal Guardian First Name:
2nd Parent or Legal Guardian Last Name:
2nd Parent or Legal Guardian Marital Status:
2nd Parent or Legal Guardian Email Address:
2nd Parent or Legal Guardian Cell Phone Number xxxxxxxxxx:
*Address Line 1:
Address Line 2:
*City:
*State:
*Zip Code:
Home Phone xxxxxxxxxx:
I am open to receiving follow-up and giving feedback regarding my visit to BHBC:

Child 1

*Child's First Name
*Child's Last Name
*Child 1 Gender:
*Child's Birthdate
*Does Child 1 have any allergies or special needs:
If answered yes above, list child's Allergies/special Needs:

Child 2

Child's First Name
Child's Last Name
Child 2 Gender:
Child's Birthdate
Does Child 2 have any allergies or special needs:
If answered yes above, list child 2 Allergies/special Needs:

Child 3

Child's First Name
Child's Last Name
Child 3 Gender:
Child's Birthdate
Does Child 3 have any allergies or special needs:
If answered yes above, list child 3 Allergies/special Needs:

Child 4

Child's First Name
Child's Last Name
Child 4 Gender:
Child's Birthdate
Does Child 4 have any allergies or special needs:
If answered yes above, list child 4 Allergies/special Needs:

Child 5

Child's First Name
Child's Last Name
Child 5 Gender:
Child's Birthdate
Does Child 5 have any allergies or special needs:
If answered yes above, list child 5 Allergies/special Needs: