GC Kids Visitor Form - Grace City Church Wilmington

Welcome to Grace City Church! It will be a joy to meet you and your little one! The safety and well-being of your child is our top priority. If you have children preschool to elementary school age (to 5th grade) that you would like to participate in GC Kids, please fill out the form below so we may best serve them and you during your visit with us.

Parent/Guardian Name(s):*
Primary Mobile #*
Secondary Mobile #
Parent/Guardian Email Address*
Enter Email Confirm Email
Address*
Street Address Address Line 2 City State ZIP Code
Child 1
Child 1 Name
First Last
Child 1 Birthdate
MM slash DD slash YYYY
Child 1 Food allergies? Info you'd like us to know?
Child 2
Child 2 Name
First Last
Child 2 Birthdate
MM slash DD slash YYYY
Child 2 Food allergies? Info you'd like us to know?
Child 3
Child 3 Name
First Last
Child 3 Birthdate
MM slash DD slash YYYY
Child 3 Food allergies? Info you'd like us to know?
Child 4
Child 4 Name
First Last
Child 4 Birthdate
MM slash DD slash YYYY
Child 4 Food allergies? Info you'd like us to know?

Child 1

Child 2

Child 3

Child 4