VBS 2024

Mark your calendar for July 14-18 from 6:00-8:00pm.

Please list participant's name below...

Name

*

Address

*

Birthdate

*

Gender

*

Please select one option.

Male Female

Age or Current for 2023/2024 School Year

*

Please select one option.

3 yr olds (must be 3 by July 20th) 4 yr olds 5 yr olds Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade

For snack purposes, please list any food allergies. (gluten, dairy, etc)

*

Any medical concerns you want to share with us? (asthma inhaler, carries an epi pen, etc)

*

Church home

*

Please select one option.

Park Chapel Other None

Emergency Contact Name

*

Emergency Contact Relationship

*

Emergency Contact Phone

*

Parent / Guardian Name(s)

*

Parent / Guardian Phone

*

Parent / Guardian Email

*

This address will receive a confirmation email

We would love for you to consider volunteering for VBS! Register on our website or app today!

Photo/Video Release

Please be aware that this event may be photographed. Your submission of this form and participation in the event grants Park Chapel permission to use your picture, silhouette or reproductions of your physical likeness and voice in any manner associated with promotion and/or celebration of church events.

Description

Mark your calendar for July 14-18 from 6:00-8:00pm.

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