Theme image

Registracion del Participante

Go Back

VALENCIA CHURCH

Location

25718 MCBEAN PKWY

VALENCIA, CA 91355

Map It

Contact Stephanie Eckelman:

661-255-1301

kidzoneclubs@umcv.org

Primero, cuéntenos sobre usted:

Información de los Padres

👋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.

Nombre

This field is required.

Apellido

This field is required.

Correo Electrónico

This field is required.

Dirección 1

This field is required.

Dirección 2

This field is required.

Ciudad

This field is required.

Estado/Provincia

This field is required.

ZIP/Código Postal

This field is required.

Teléfono de Contacto 1

This field is required.

Teléfono de Contacto 2

This field is required.

Nombre del Contacto de Emergencia

This field is required.

Relación del Contacto de Emergencia

This field is required.

Teléfono del Contacto de Emergencia

This field is required.

Nombre de recogida alternativo

This field is required.

Any Comments or special circumstances we should know about?

This field is required.

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.

This field is required.

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.

Cuéntanos sobre tu participante

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.📫

Nombre

This field is required.

Apellido

This field is required.

Grado Entrando

This field is required.

Género

This field is required.

Fecha de nacimiento

This field is required.

Talla de Camisa

This field is required.

Alergias

This field is required.

Preocupaciones Médicas

This field is required.

Is your child new to the program or returning?

This field is required.

Comentarios

This field is required.

— or —