Baptism Info

Name*
First Last
Email*
Phone*
Campus*
Gender*
- Female
- Male
Age Range*
Shirt Size
Parent / Guardian Information
Parent / Guardian Name*
First Last
Parent / Guardian Email*
Parent / Guardian Phone
Consent
I agree to the photo / video release policy.
Please be advised that your child will be photographed and video taped during their Baptism Celebration. By selecting this box, you give permission to Valley Creek Church to post your child's photo/video footage on our social media accounts and/or website, or use the photos/videos for upcoming promotional materials.
Baptizer Information
Is there someone who is All In with the Valley Creek family whom you'd like to baptize you?*
- Yes
- No
Baptizer Name*
First Last
Baptizer Email*
Baptizer Phone
Baptizer's Relationship to You

Parent / Guardian Information