Back to School 2026 - Registration

DCHD's Back to School 2026 Registration
Welcome to the 2026 DCHD Back to School Fair Registration! 🎉

Date: Saturday, August 15, 2026

Time: 10:00 AM - 2:00 PM
The Delaware County Health Department is proud to host this FREE community event featuring:

✨ Backpacks filled with school supplies

💉 Physicals and Immunizations

🦷 Dental Screenings

👓 Eye Exams

💇 Haircuts

🎨 Face painting and much more!

Each child must be registered individually to ensure every child receives a backpack.

If interested in a school or sports physical, please call the Wellness Line at

484-276-2100- LIMITED SPOTS AVAILABLE!

Please note:

✅ All registered children must be present at the event to receive their backpack and participate in services.

✅ This event is RAIN or SHINE!

Let’s get your kids prepped, packed, and ready to return to school in style and good health!
Parent Name

First NameLast Name
Parent Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent Email
example@example.com
How many children are you registering?
What age category is your child in?
Please choose a timeslot to pickup your child's supplies by typing "1" into your desired slot.
Please note: You must select a time slot for each registered child. You are able to register all children for the same time slot unless the time slot has reached capacity
What age category is your second child in?
Please choose a timeslot to pickup your second child's supplies by typing "1" into your desired slot.
Please note: You must select a time slot for each registered child. You are able to register all children for the same time slot unless the time slot has reached capacity
What age category is your third child in?
Please choose a timeslot to pickup your third child's supplies by typing "1" into your desired slot.
Please note: You must select a time slot for each registered child. You are able to register all children for the same time slot unless the time slot has reached capacity
What age category is your fourth child in?
Please choose a timeslot to pickup your fourth child's supplies by typing "1" into your desired slot.
Please note: You must select a time slot for each registered child. You are able to register all children for the same time slot unless the time slot has reached capacity
What age category is your fifth child in?
Please choose a timeslot to pickup your fifth child's supplies by typing "1" into your desired slot.
Please enter the number of children that will be picking up supplies
Please note: You must select a time slot for each registered child. You are able to register all children for the same time slot unless the time slot has reached capacity
Do any of your registered children need vaccines?
To be provided vaccines, your children must meet at least one of the following qualifications:
1. Children under 19 years of age, who do not have health insurance
2. Children who are underinsured (insurance does not cover vaccines)
3. Children who are Medicaid-eligible or Medicaid-enrolled.
4. Children who are American Indian or Alaskan Native.
To learn more about Pennsylvania’s school vaccine requirements, click here.
How many children will be receiving vaccinations?
Child's Full Name

First NameLast Name
Date of birth

MonthDayYear
Date
Does this child have health insurance?
If Yes, what type of insurance?
Name of private insurance
(ex. Independence Blue Cross, United Health Care, Cigna, Aetna)
Please select which vaccines your child needs:
To have your child vaccinated, please provide their vaccine records below.

If records are not received before the event, your child will not be vaccinated.
Cancelof
If you have a copy of your child's health insurance card, please upload a photo.

Cancelof
Second child's full name

First NameLast Name
Date of birth

MonthDayYear
Date
Does this child have health insurance?
If Yes, what type of insurance?
Name of private insurance
(ex. Independence Blue Cross, United Health Care, Cigna, Aetna)
Please select which vaccines your child needs:
To have your child vaccinated, please provide their vaccine records below.

If records are not received before the event, your child will not be vaccinated.
Cancelof
If you have a copy of your child's health insurance card, please upload a photo.

Cancelof
Third child's full name

First NameLast Name
Date of birth

MonthDayYear
Date
Does this child have health insurance?
If Yes, what type of insurance?
Name of private insurance
(ex. Independence Blue Cross, United Health Care, Cigna, Aetna)
Please select which vaccines your child needs:
To have your child vaccinated, please provide their vaccine records below.

If records are not received before the event, your child will not be vaccinated.
Cancelof
If you have a copy of your child's health insurance card, please upload a photo.

Cancelof
Fourth child's full name

First NameLast Name
Date of birth

MonthDayYear
Date
Does this child have health insurance?
If Yes, what type of insurance?
Name of private insurance
(ex. Independence Blue Cross, United Health Care, Cigna, Aetna)
Please select which vaccines your child needs:
To have your child vaccinated, please provide their vaccine records below.

If records are not received before the event, your child will not be vaccinated.
Cancelof
If you have a copy of your child's health insurance card, please upload a photo.

Cancelof
Fifth child's full name

First NameLast Name
Date of birth

MonthDayYear
Date
Does this child have health insurance?
If Yes, what type of insurance?
Name of private insurance
(ex. Independence Blue Cross, United Health Care, Cigna, Aetna)
Please select which vaccines your child needs:
To have your child vaccinated, please provide their vaccine records below.

If records are not received before the event, your child will not be vaccinated.
Cancelof
If you have a copy of your child's health insurance card, please upload a photo.

Cancelof
Should be Empty:

DCHD's Back to School 2026 Registration

Welcome to the 2026 DCHD Back to School Fair Registration! 🎉

The Delaware County Health Department is proud to host this FREE community event featuring:

To be provided vaccines, your children must meet at least one of the following qualifications: