Name *

First Name

Last Name

Check One

First Time Guest

Returning Guest

Brookside Regular

Address

Address 1

Address 2

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Next Steps

I'm ready to follow Jesus

I'm ready to join a Life Group

I'm ready to serve

I'm ready to be a member

I'm ready to be baptized

I'm ready to find my SHAPE

I'm ready to attend Brookside Discovery

Add Prayer Request to Public Prayer List?

Yes

No