Valparaiso Baptist Church

Team Kid starts September 6, 2023

6:30 pm to 8:00 pm

Enter Door 5

Child's Name (Required)

Parent's Name (Required)

Address (Required)

Emergency Contact # & Relationship to Child (Required)

Allergies/Medical Conditions (Required)

Check the class your child will attend (Required)

Younger Kids (K-2nd grade)

Older Kids (3rd-5th grade)

Child's Birthday (mm/dd/year) (Required)

Who/Whom is authorized to pick up your child? (Required)

Valparaiso Baptist Church

612 Emmettsburg St, Valparaiso, IN 46385