Welcome to Seymour Heights

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

Do you have a child/student to register in Family Ministry? (0-18 years)

Yes

No

Child/Student (0-18 yrs)

First Name

Last Name

Allergies

Birthdate

Grade

Can your child appear in pictures for church promotional materials?

Yes

No

Choose which emails you want sent to primary email address:

Announcement Email (weekly)

Prayer Requests (bi-weekly)

Parent Communications (weekly)