East Side Baptist Church - AR - Starting Point Form

Starting Point

First Name

Last Name

Email

Phone Number

What month will you be attending Starting Point?

Please list the names of any additional adults attending.

Children are welcome to attend Starting Point with their parents or go to the Wednesday Night Kids or Youth Activities available at the same time!

Will your children be attending...

Starting Point with parents

Kids/Youth activities on campus

Not attending

Please list the name/age/grade of children attending.