You have reached the registration form for Cornerstone Church's "Stellar" Vacation Bible School (VBS), to be held daily July 17-20, 2023 from 9am-12pm. Children entering K-6th grade are welcome! For more information, contact the church M-Th 9am-5pm at (805) 461-3899.
Parent / Guardian Contact Information
For Contact Phone, please enter the Contact Number by which you can be reached during VBS hours (9am-12pm).
If the Parent / Guardian is not the Emergency Contact during VBS hours, please enter the Name and Contact Number of the person who is.
Please enter names and grades of ALL children attending (those entering kindergarten through 6th grade are invited). You will need to fill out one permission slip per child.
T-Shirt Size
*
Select Option
Child Small (6-8)
Child Medium (10-12)
Child Large (14-16)
Adult Small (34-36)
Adult Medium (38-40)
Adult Large (42-44)
Above Child is Entering Grade
*
Select Option
K
1
2
3
4
5
6
T-Shirt Size
Select Option
Child Small (6-8)
Child Medium (10-12)
Child Large (14-16)
Adult Small (34-36)
Adult Medium (38-40)
Adult Large (42-44)
Above Child is Entering Grade
Select Option
K
1
2
3
4
5
6
T-Shirt Size
Select Option
Child Small (6-8)
Child Medium (10-12)
Child Large (14-16)
Adult Small (34-36)
Adult Medium (34-36)
Adult Large (42-44)
Above Child is Entering Grade
Select Option
K
1
2
3
4
5
6
T-Shirt Size
Select Option
Child Small (6-8)
Child Medium (10-12)
Child Large (14-16)
Adult Small (34-36)
Adult Medium (38-40)
Adult Large (42-44
Above Child is Entering Grade
Select Option
K
1
2
3
4
5
6
T-Shirt Size
Select Option
Child Small (6-8)
Child Medium (10-12)
Child Large (14-16)
Adult Small (34-36)
Adult Medium (38-40)
Adult Large (42-44)
Above Child is Entering Grade
Select Option
K
1
2
3
4
5
6
T-Shirt Size
Select Option
Child Small (6-8)
Child Medium (10-12)
Child Large (14-16)
Adult Small (34-36)
Adult Medium (38-40)
Adult Large (42-44)
Above Child is Entering Grade
Select Option
K
1
2
3
4
5
6
Tickets are FREE this year! Please mark the total number of children who will be attending (grades entering K-6th).
Total number of children attending
*
Select Option
1
2
3
4
5
6
Please list the name of child followed by their associated food allergies.
Non-Food Allergies / Medical Conditions
