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Participant Registration

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Registro en Español

VALENCIA CHURCH

Location

25718 MCBEAN PKWY

VALENCIA, CA 91355

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Contact Stephanie Eckelman:

661-255-1301

kidzoneclubs@umcv.org

First, Tell Us About Yourself:

Parent Information

👋Welcome parents/guardians to KidZone Clubs!😊

We are so glad you are here. Please fill out the form completely to help us know how to contact you for updates, info, and in case of emergency. 📄

For a sneak peak at our menu, calendar and more click here KidZone Clubs.

First Name

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Last Name

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Address 1

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Address 2

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City

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State/Province

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ZIP/Postal Code

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Contact Phone 1

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Contact Phone 2

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Emergency Contact Name

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Emergency Contact Relationship

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Emergency Contact Phone

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Alternate Pickup Name

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Any Comments or special circumstances we should know about?

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NOTICE-FILMING/PHOTOGRAPHY: KidZone Clubs will be filming/photographing at this location through the 2026-2027 year. By attending KidZone Clubs at Valencia Church, you irrevocably consent to and authorize Kidzone Clubs and Valencia Church to photograph and make sound recordings of your child and use such photographs and recordings throughout the universe, for any purpose whatsoever in all known and hereafter existing medium and in any language in perpetuity. All such photographs and sound recordings will be the sole property of KidZone Clubs at Valencia Church.

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Click here for your FREE Notes from Jesus Bundle

By checking the box you will be emailed your Free Notes From Jesus Bundle.

You are also agreeing to receive emails about family resources from Lifetree. You can unsubscribe at any time. We value your privacy. Your information will not be shared with a third party. Lifetree is a division of Group Publishing, the creators of Group VBS and other faith-building resources. Click to learn more about Lifetree.

Tell Us About Your Participant

KidZone Clubs starts September 9, 2026! 📅

Please fill out the form completely so we can assign your child to the proper classroom and set them up for success. Have your child keep an eye out for a special postcard arriving a week before the start date.📫

First Name

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Last Name

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Grade Entering

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Gender

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Date Of Birth

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Shirt Size

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Allergies

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Medical Concerns

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Is your child new to the program or returning?

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Comments

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