Stellar VBS Registration

Woo hoo! We're so glad your kids are going to join in the fun at Stellar VBS this summer!
Stellar VBS Planning Team

Name

*

Gender

*

Please select one option.

Male Female

Birthdate (XX/XX/XXXX)

*

Grade entering Fall 2023

*

Please select one option.

Pre-Kindergarten Kindergarten 1st 2nd 3rd 4th 5th 6th

Parent/Caregiver Name

*

Address

*

Home Phone

Mobile Phone

*

Email

This address will receive a confirmation email

Home Church (if not Koerner Heights)

Emergency Contact Name

*

Emergency Contact Phone

*

Allergies or Other Concerns

Name of friend your child might like to be with

Description

Woo hoo! We're so glad your kids are going to join in the fun at Stellar VBS this summer!
Stellar VBS Planning Team

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