VCC Kids New Guest Form – Valley Creek Church

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VCC Kids Guest Form

Welcome to Valley Creek Kids! We’re so glad you’re here with us today. Fill out this form below.

Step 1 of 9

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Campus*
- Denton
- Flower Mound
- Lewisville
- Gainesville
Service Time*
- Sunday 9:30am
- Sunday 11am
- Sunday 12:30pm
Tell us about yourself*
- We are a new family.
- We brought a guest.
Media Disclaimer
Periodically, there will be photos and videos captured of what's happening in Valley Creek Kids. If you have any concerns, please let us know so we can make accommodations for your family. Thank you for partnering with us!

Guest of Family Information
Complete if the child is a guest of a Valley Creek family.
Full name of adult signing child(ren) in*
First Last
Cell phone of adult signing child(ren) in*
Full Name of Parent/Guardian of Child(ren)*
First Last
Parent/Guardian Cell Phone

Parent/Guardian Information
Parent/Guardian Full Name*
First Last
Parent/Guardian Phone*
Mobile Carrier
Parent/Guardian Email
2nd Parent/Guardian Full Name
First Last
2nd Parent/Guardian Cell Phone
Mobile Carrier
2nd Parent/Guardian Email
Address*
Street Address Address Line 2 (include apt #) City State / Province / Region ZIP / Postal Code
Please let us know if you do not agree to receive communication from Valley Creek Church.

Child Information #1
Child Full Name*
First Last
Child DOB (month / date / year)*
Child Gender*
- Female
- Male
Grade Level (If elementary school aged)
- Kindergarten
- Grade 1
- Grade 2
- Grade 3
- Grade 4
- Grade 5
- N/A
Allergies/Special Instructions
Security Tag #*
Add another child?*
- Yes
- No
By clicking Submit, you agree to receive communication from Valley Creek Church.

Child Information #2
Child Full Name*
First Last
Child DOB (month / date / year)*
Child Gender*
- Female
- Male
Grade Level (If elementary school aged)
- Kindergarten
- Grade 1
- Grade 2
- Grade 3
- Grade 4
- Grade 5
- N/A
Allergies/Special Instructions
Security Tag #*
Add another child?*
- Yes
- No
By clicking Submit, you agree to receive communication from Valley Creek Church.

Child Information #3
Child Full Name*
First Last
Child DOB (month / date / year)*
Child Gender*
- Female
- Male
Grade Level (If elementary school aged)
- Kindergarten
- Grade 1
- Grade 2
- Grade 3
- Grade 4
- Grade 5
- N/A
Allergies/Special Instructions
Security Tag #*
Add another child?*
- Yes
- No
By clicking Submit, you agree to receive communication from Valley Creek Church.

Child Information #4
Child Full Name*
First Last
Child DOB (month / date / year)*
Child Gender*
- Female
- Male
Grade Level (If elementary school aged)
- Kindergarten
- Grade 1
- Grade 2
- Grade 3
- Grade 4
- Grade 5
- N/A
Allergies/Special Instructions
Security Tag #*
Add another child?*
- Yes
- No
By clicking Submit, you agree to receive communication from Valley Creek Church.

Child Information #5
Child Full Name*
First Last
Child DOB (month / date / year)*
Child Gender*
- Female
- Male
Grade Level (If elementary school aged)
- Kindergarten
- Grade 1
- Grade 2
- Grade 3
- Grade 4
- Grade 5
- N/A
Allergies/Special Instructions
Security Tag #*
Add another child?*
- Yes
- No
By clicking Submit, you agree to receive communication from Valley Creek Church.

Child Information #6
Child Full Name*
First Last
Child DOB (month / date / year)*
Child Gender*
- Female
- Male
Grade Level (If elementary school aged)
- Kindergarten
- Grade 1
- Grade 2
- Grade 3
- Grade 4
- Grade 5
- N/A
Allergies/Special Instructions
Security Tag #*

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