Baptism registration

We're so excited that you're saying "yes" to the next step God is inviting you to! Please fill out the form below so we can prepare to celebrate with you on July 31.

Name*
First Last
Email*
Phone*
Campus*
Gender*
- Female
- Male
Age Range*
Select one of the following:*
- I believe my kid is ready to be baptized
- I have more questions and would like to talk to a Kids Director
- No, I believe my kid is not ready to be baptized
Shirt Size*
Consent
I agree to the photo / video release policy.
Please be advised that photography and videography will take place during the Baptism Celebration. By selecting this box, you give permission to Valley Creek Church to post you and/or your child's photo/video footage on our social media accounts and/or website, or use the photos/videos for upcoming promotional materials.
Parent / Guardian Information
Parent / Guardian Name*
First Last
Parent / Guardian Email*
Parent / Guardian Phone*
Baptizer Information
Is there a specific person you'd like to request to baptize you? (Serve Team Leader, Circle Leader, Family Member, etc.)*
If you're asking a family member or friend to baptize you, they must be an active part of the movement at Valley Creek and attend a Baptism Class. We also have people on our team that would be happy to baptize you!
- Yes
- No
Baptizer Name*
First Last
Baptizer Email*
Baptizer Shirt Size*
Baptizer Phone*
Baptizer's Relationship to You*
By clicking "Submit", you agree to receive communication from Valley Creek Church.
By clicking "Submit", you agree to receive communication from Valley Creek Church.

Baptism registration

Parent / Guardian Information

Baptizer Information