VBS 2026 Participant Registration

July 19-22 from 6:00-8:00pm | Mark your calendars!
We look forward to seeing you there!

PARTICIPANT INFORMATION

Name

Address

Birthdate

Gender

Please select one option.

Male Female

Age or incoming grade for the 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 select any food allergies

Please select all that apply.

Gluten Dairy Peanuts Tree nuts Eggs Other

Does your child have any accommodations, medical needs, allergies, sensory sensitivities, learning differences, mobility needs, or behavioral supports that would help our team provide a safe, fun, and successful VBS experience?

Please select one option.

Yes No

If you answered "yes" above, please share some details

Church home

Please select one option.

Park Chapel Area church I don't have a church home

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone

Parent | Guardian Name

Parent | Guardian Phone

Parent | Guardian Email

This address will receive a confirmation email

If you love VBS, consider volunteering!
CLICK HERE ...or sign-up later by visiting our website or app.

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

July 19-22 from 6:00-8:00pm

Mark your calendars!
We look forward to seeing you there!

VBS 2026 Participant Registration

Description

Please Fix the Following