Love, Joy, Peace...
Vacation Bible School
Sunday, June 22 - Wednesday, June 25 5:45 - 8:15 pm
For Children 4-Years-Old through 6th Grade
Proclaim the Lord's greatness with me; let us exalt His name together. Psalm 34:3
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Child's Name (Required)
Date of Birth (Required)
School Grade Completed (Required)
Has not attended school
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Child's Sponsor (Required)
Name of the person registering the child.
Relationship to Child (Required)
Parent
Grandparent
Other
Address (Required)
E-Mail (Required)
Phone (Required)
Emergency Contact (Required)
Please include name and phone number of person to be notified in case of emergency.
Additional Emergency Contact
Other people authorized to pick up my child from VBS
Permission to attend (Required)
I give permission for my child (named above) to attend the Vacation Bible School (VBS) listed above. I understand that the information I give for this registration will only be used by Providence Baptist Church..
Food Allergies or other Medical Concerns
Please enter any conditions that may affect your child's safety or health during VBS, including food allergies.
First Aid Permission (Required)
I give my permission for the VBS staff to administer basic first aid to my child (named above) in the event of an injury. I understand that the VBS staff will contact me but may also contact emergency services in the event of a significant injury, and all expenses for such emergency services will be paid by me.
Permission to Photograph (Required)
I hereby grant VBS staff permission to take photographs and videos of my child (named above). Photographs may be posted on the church’s Facebook page without the child’s name.
Dreamers Only: Permission to Ride Church Van
I grant permission for the above-named child to be transported from Dreamers Day Care to Providence Baptist Church via the church van. I understand that my child will be under the supervision of adult church volunteers/staff during this ride and that I am responsible for picking up my child at the church each evening at the end of VBS. I acknowledge and understand that there are inherent risks associated with travel, and I release the Providence Baptist Church and its representatives from any and all liability for any accidents, injuries, or incidents that may occur during this transportation
Worship Services
10 Providence Lane, Daleville, AL 36322
Sunday Connect for All Ages | 9:30 am
Sunday Worship Service | 10:30 am
Wednesday Prayer Service-Youth-TeamKID: 6:00 pm
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