VBS Registration 2025- Providence Baptist Church
July 6-9 from 5:30 to 7:30PM | Please fill out this form for each child who will be attending VBS with us. Thank you!
Child's Name
*
Child's Age
*
Child's Last School Grade
*
Please select one option.
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Select Option
Pre K
Kindergarten
1st
2nd
3rd
4th
5th
6th
Parent/Guardian's Name
*
Parent/Guardian's Email
*
This address will receive a confirmation email
Parent/Guardian's Phone
*
Child/Parent's Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Necessary Medical Information (Please include food allergies)
Does your child have a home church? If so, which church?
Is your child visiting with a friend? If yes, who is he/she a friend of?
Submit
Description
July 6-9 from 5:30 to 7:30PM
Please fill out this form for each child who will be attending VBS with us. Thank you!
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