2026 Shining Stars Mall of America Event Registration
We're excited to see you at the Shining Stars MOA event on Saturday, October 10th!
This event is exclusively for Shining Stars and their families.
Please be sure to register all members of your family that will be attending the event. If you have any questions, please contact Shining Stars Manager Lisa Necastro at lisa.necastro@efmn.org or 651-287-2358. Thank you!
Step 1: Register Shining Star(s)
Please provide information about the Shining Star in your group.
Click 'Add Another Response' to register additional Shining Stars for the event.
Then, click Next Page to register a Primary Parent/Guardian.
Shining Star Information
Youth's First Name
Youth's Last Name
Is this youth currently a Shining Star?
Please select...
Yes
No
If your child has not yet signed up for our Shining Stars program, please submit an application on our website using the link below.
https://www.epilepsyfoundationmn.org/connect/shining-stars/#apply
Date of Birth
Youth's Email (if applicable - please enter Parent/Guardian Email on the next page)
Street Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
5-Digit Zip Code Calculation
Type of Seizures/Epilepsy:
Seizure Triggers (if applicable)
Step 2: Register Primary Parent/Guardian
Please provide information for the Primary Parent/Guardian that will be attending the event.
Then, answer the question at the bottom of the page and click Next Page.
Primary Parent/Guardian Information
Primary Guardian's First Name
Primary Guardian's Last Name
Primary Guardian's Phone
Primary Guardian's Email
By providing an email address, you agree to receive email communications from the Epilepsy Foundation of Minnesota (EFMN). The confirmation email and event reminders will be sent to this email.
Primary Guardian Street Address (if different than Shining Star's address)
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WI
WV
WY
DC
Zip Code
EFMN is collecting some additional demographic information for guests to ensure we are reaching everyone in our community and help us to receive grants to fund our programming. We appreciate your cooperation!
Primary Guardian's Date of Birth
Primary Guardian's Primary Relationship to Epilepsy
Has Epilepsy (Self)
Another Family Member Has Epilepsy
Child Has Epilepsy
Friend/Co-Worker Has Epilepsy
Lost Someone with Epilepsy
Parent Has Epilepsy
Spouse or Partner Has Epilepsy
Works with People with Epilepsy
Other / Prefer Not to Answer
Gender
Male
Female
Non-binary
Prefer to Self-Describe
Prefer not to answer
Please describe:
Race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Mixed Race
White
Prefer Not to Answer
Ethnicity
Hispanic, Latinx or Spanish Origin
Not Hispanic, Latinx or Spanish Origin
Prefer Not to Answer
How did you hear about this event?
Please select...
E-Newsletter/E-Blast
EFMN Events Calendar/Website
EFMN Staff Member
A family member or friend
Facebook
Instagram
Twitter
Other:
Please specify:
Will there be any additional family members attending?
Yes
No
Step 3: Register Additional Family Members
Please provide information for any other members of your family that will be attending the event.
Click 'Add Another Response' to register additional guests.
Then, click Next Page to submit your registration form.
Additional Guest Information
First Name
Last Name
Phone
Email (if applicable)
By providing an email, the person listed above agrees to receive email communications from the Epilepsy Foundation of Minnesota (EFMN).
Date of Birth
Relationship to Shining Star(s):
Please select...
Parent/Guardian
Sibling
Other family
Primary Relationship to Epilepsy
Has Epilepsy (Self)
Another Family Member Has Epilepsy
Child Has Epilepsy
Friend/Co-Worker Has Epilepsy
Lost Someone with Epilepsy
Parent Has Epilepsy
Spouse or Partner Has Epilepsy
Works with People with Epilepsy
Other / Prefer Not to Answer
Gender
Male
Female
Non-binary
Prefer to Self-Describe
Prefer not to answer
Please describe:
Race
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
Mixed Race
White
Prefer Not to Answer
Ethnicity
Hispanic, Latinx or Spanish Origin
Not Hispanic, Latinx or Spanish Origin
Prefer Not to Answer
Step 4: General Information
How many total ride wristbands does your group need?
Do any members of your group have dietary restrictions or allergies? If yes, please describe.
Do any members of your group have mobility needs that we should be aware of? If yes, please describe.
What is your preferred language?
EFMN is committed to ensuring that financial barriers do not get in the way of celebrating all Shining Stars. Nickelodeon Universe wristbands will be provided free of charge at this year's event. Please check the box below if you need financial assistance for travel expenses.
Yes, I would like to request financial assistance.
Contact Information