2026 VBS Registration

1
Participant's Name* This field is required.
First Name
Last Name
2
Participant's Date of Birth* This field is required.
Date
Month
Day
Year
3
Participant's Age* This field is required.
4
Participant's Last Grade Completed* This field is required.2023-2024 School Year
Please Select
Please Select
6
5
4
3
2
1
Kindergarten
Pre-K
5
Does the Participant have siblings also attending our VBS?Please include their names and ages:
6
Parent/Guardian Info* This field is required.
Parent/Guardian Name
Street Address
City
State
Phone Number (Home or Mobile)
Please enter your email
7
Emergency Contact* This field is required.
Emergency Contact Name
Emergency Contact Phone Number
8
Special Needs/Allergies/Other Concerns
9
Our 6th Grade Group will possibly be traveling off-campus as a group for Fun Night activities. If your child has completed 6th Grade, do you give permission for them to leave Parkway's campus with their Group Leader?* This field is required.
YES, my 6th Grader has permission to go on the Fun Night trips
NO, my 6th Grader does not have permission to go on the Fun Night trips
This question is not relative to my participant. He/She is NOT a 6th Grader
10
We typically post photos and videos of VBS activities and fun throughout the week of VBS. Do we have permission to post photos/videos of your child online?
YES, you may post photos/videos of my child online including social media
NO, you may NOT post photos/videos of my child online including social media
Should be Empty: