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Visiting for the first time or still exploring? Fill out the form below, and our Connections Team will point you in the right direction.
First Name

Last Name

Gender
Email

Phone Number

Marital Status
Spouse Info:
Spouse's First Name

Spouse's Last Name

Gender
Spouse's Email

Spouse's Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Have KiDS?
KiDS First Name

KiDS Last Name

Gender
Birthdate

Grade
Allergies

How many times have you visited our church?
I would like to learn more about (check all that apply):
Salvation
Prayer
Baptism
Starting Point (3 week class to help get connected)
Life Groups
Are there any other areas you are looking to get connected in?

Anything else you would like to share? Totally up to you!

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Ways to Get Involved
Attend Starting Point
Starting Point is the fastest way to find your place at Coppell Bible! Click here for more info.
Join a Life Group
Community is important to us here at CB! Want to be a part of one of our life groups?
Click here to find a launch group!
Pray with Us
Learn more about our Prayer Ministry here and how we can support you.
Contact Us
Have a question? We want to help.
Click Here to Contact Us
New Here?
Connect With Us
Ways to Get Involved
Attend Starting Point
Join a Life Group
Pray With Us
Contact Us
Ministries
Events
Give
Media

September 17th, 2026
Parents Night Out
Registration Form

For KiDS in 5th Grade and under

Parent / Legal Guardian Info

First Name

Last Name

Email

Phone Number

Click Next to read our Childcare Policies

Childcare Policies

Click Here to read CB's Childcare Policies

Once you have read our Childcare Policies please sign below that you agree to follow them.

Signature

Click Next to finalize your Child Registration

Child Info

First Name

Last Name

Gender

Birthdate

Allergies

Is there anything else we need to know to help your child while in our care?

Once you submit this form, you will be redirected to fill out our Medical & Liability Release Form for each of your children that will be in our care.

You can also find this Form on our website under Ministries and then on our Ministry Resources Page