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2023 STELLAR VBS REGISTRATION
July 16-20 SUNDAY - THURSDAY 5:30-8:00 (DINNER PROVIDED AT 5PM)
AGES PRE-K (4&UP) - ENTERING 6TH GRADE
Please fill out one form per child.
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Child's Name
*
Your answer
Child's Age
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
Last Grade Completed
*
Your answer
Name of Parent(s) / Guardian(s)
*
Your answer
Home Address
*
Your answer
Home Telephone Number
Your answer
Parent/Guardian Cell Phone Number
*
Your answer
Home Email Address
Your answer
Home Church (if applicable)
*
Your answer
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