Kaleidoscope Registration

Please fill out the form below. If you have questions, please contact the Gabriel Project Northern Panhandle Chapter at 304-639-5039, or npgabrielproject@gmail.com. Contact the Chapter office if you wish to register more than one child.

Child's Name:*
Grade Level:*
Child's T-Shirt Size:*

See our information page for activities descriptions

Children's Activities (choose 5):*

Parents will be required to sign liability and
medical release forms on the day of the event.

Parent/Guardian Name:*
Parent/Guardian E-mail:*
Parent/Guardian Phone:*

Registration Fee is $20.00 per child.
To register more than one child from the same family,
please contact the Northern Panhandle Chapter office at 304-639-5039.