VCC Kids New Guest Form – Valley Creek Church

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
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 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 City State / Province / Region ZIP / Postal Code

Child Information #1
Child Full Name*
First Last
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*
First Last
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*
First Last
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*
First Last
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*
First Last
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*
First Last
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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