Silicon Valley 5-Day Club registration

    Click here to choose one Club date.

    Child’s Name*

    Age* (Children age 5 – 12 may attend.)

    School*

    Additional Child’s Name

    Age

    Zip Code* (Must be a US resident.)

    Parent/Guardian Email*

    Home Phone*

    My child/children listed on this form are allowed to attend the CEF online 5-Day Club

    Parent/Guardian Electronic Signature*

    Typing your name here is your legal signature.

    We will send information on how to access the online 5-Day Club the Saturday before club begins. For your child’s safety, only children with permission from parents and a completed registration form may attend. All teachers in our clubs have been screened according to the Child Protection Policy of Child Evangelism Fellowship. Please feel free to contact us at siliconvalley@cefnorcal.org if you have any questions.