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STELLAR VBS 2023 Registration Form
Director - Jeannie Thomas Email - jeanniethomas.mama@gmail.com
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* Indicates required question
Email
*
Your email
Child's Name
*
Your answer
Child's Age
*
Choose
3
4
5
6
7
8
9
10
11
12
Other (I have been invited to bring another age child by Meagan or Matt)
Child's Grade Level last completed
Your answer
Parent/Guardian Names
*
Your answer
Phone Number
*
Your answer
Emergency Contact - Name/Phone Number
*
Your answer
Please List All Food Allergies
Your answer
Who may pick your child up at the end of VBS? (Please List Two Full Names)
Your answer
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