VNC Clubhouse Family Information

Welcome to VNC! We'd love to get to know you better. Please fill out the information below!

Parent/Guardian Information

Household Members

Please add all members of your household.

Please provide information for each household member (parents/guardians & kids).

I grant to Valparaiso Nazarene Church (VNC), it's representatives, and employees the right to take photographs, video, and/or electronic images of any member of my family in our Family Ministries environments. I authorize VNC to copyright, use, and publish the photographs, video, and/or electronic images in print and/or electronically-with or without names-for any lawful purpose to highlight and promote our Family Ministries environments. Selecting "I agree", indicates that I have read and understand the above statement of release.

A copy of your responses will be sent to your email address.