Brush Prairie Church

We'll need some information first!

Name (Required)

Email Address (Required)

Should I complete this?

This tool is intended to collect contact/family information from PEOPLE NEW TO THE CHURCH. If you are currently attending bpChurch and have completed an information card, there is no reason to complete this form. Your data is available in bpConnect under "My Profile" and may be edited there.

First Adult Family Member

Starting with your name and email above, enter information about you and your family, then about a second adult in the family(if needed), and then the name(s), gender(s), and birthday(s) of children living in the household.

1) Family Role (Required)

1) Mobile Phone

1) Member Status (Required)

1) Birthdate

1) Gender (Required)

Individual or Family Address (Required)

Marital Status (Required)

Family Phone

Second Adult Family Member

2) First Name

For a second adult in the household (if needed)

2) Last Name

2) Family Role

2) Mobile Number

2) Email Address

2) Member Status

2) Birthdate

2) Gender

If married, what is your wedding anniversary?

Name(s), Gender(s) and Birthday(s) of any children living in this home.

Anything else we should know about your family?

Thank you!

Use the "Submit" button to save the information!

Brush Prairie Church

11814 NE 117th Ave, Vancouver, WA 98662