VCC Kids Guest Form
Welcome to Valley Creek Kids! We’re so glad you’re here with us today. Fill out this form below.
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Campus
*
Denton
Flower Mound
Lewisville
Gainesville
Venue
Service Time
*
Sunday 9:30am
Sunday 11am
Tell us about yourself
*
We are a new family.
We brought a guest.
Guest of Family Information
Complete if the child is a guest of a Valley Creek family.
Full name of adult signing children in
*
Cell phone of adult signing children in
*
Full Name of Parent/Guardian of Child
*
Parent/Guardian Cell Phone
Parent/Guardian Information
Parent/Guardian(s) Full Name
*
Parent/Guardian Cell Phone
*
2nd Parent/Guardian Cell Phone
Parent/Guardian Email
*
2nd Parent/Guardian Email
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Child Information #1
Child Full Name
*
Child DOB (month / date / year)
*
Date Format: MM slash DD slash YYYY
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
Child Information #2
Child Full Name
*
Child DOB (month / date / year)
*
Date Format: MM slash DD slash YYYY
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
Child Information #3
Child Full Name
*
Child DOB (month / date / year)
*
Date Format: MM slash DD slash YYYY
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
Child Information #4
Child Full Name
*
Child DOB (month / date / year)
*
Date Format: MM slash DD slash YYYY
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
Child Information #5
Child Full Name
*
Child DOB (month / date / year)
*
Date Format: MM slash DD slash YYYY
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
Child Information #6
Child Full Name
*
Child DOB (month / date / year)
*
Date Format: MM slash DD slash YYYY
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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