REGISTRATION for YOUTH DVBS
Daily Vacation Bible School (DVBS)  Registration for "In Person" (DVBS) the week of
July 21-25, 2025, from 9:00 am to 12 noon, @ PBC Life Development Center, 24111 Rockwell Drive. Euclid, Ohio 44117

For Youth ages 4-18 years

Providence Baptist Church Daily Vacation Bible School Mission Statement

To teach God's word through bible stories, memory verses, songs, and games. To lead people to Christ and become members of God's family, develop a relationship with God, and apply God's word to their lives to become more like Jesus Christ.

"Everything in the Scriptures is God's Word.  All of it is useful for teaching and helping people and for correcting them and showing them how to live." 2 Timothy 3:16 (CEV)                                                          
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Providence Baptist Church Office(PBC) 26250 Euclid Avenue, #435 Euclid, Ohio 44132  (216-991-5315) providencebaptistchurch.org
The person completing this registration form MUST BE 18 years or older.  I understand that if I am NOT 18 years or older and complete this form, I am committing fraud and am liable for the consequences of such fraud. *
 I (we) understand that information collected on this form, (parent's name, address, phone number, email, child's name, age, last grade completed, and church information) will be used to register my child for Providence  Baptist Church Vacation Bible School that will take place the week of July 21, 2025. As the legal guardian,  I (we) give my (our) child(ren) permission to participate in "In-Person " Vacation Bible School at  PBC Life Development Center, 2411 Rockwell Drive. Euclid, Ohio 44117,  beginning on July 21  through July 25, 2025. This information will not be shared with a third party and is for church use only. *
I (we) give consent for my child(ren) to participate in  "In-Person Vacation Bible School"  at  PBC Life Development Center beginning on July 21- through July 25, 2025.  (please choose one option)

 *
As the legal guardian for the child(ren) registered on this form, I (we) agree to release from any liability and to hold harmless Providence Baptist Church, it's agents, directors, staff, and ministry volunteers. *
I (we) give consent to Providence Baptist Church to use photo or video images taken of my child(ren) in church brochures, advertisements for the church, on the website, in social media, and in church publications as they see fit. None of the photos or videos taken will be for personal use. *
I would like for my child(ren) to receive transportation to and from PBC Life Development Center to participate in Vacation Bible School. (please be advised that transportation is limited) *
Parent's First and Last Name *
Parent's email address *
Parent's phone number *
Parent's address *
Are you interested in participating in: (check all that apply) *
Required
Child's First and Last Name (#1) *
Child's Age *
Last Grade completed *
Does your child have any food allergies, medical concerns, or other special needs that the DVBS staff should be aware of? *
Child's church information: (check all that apply) *
Required
Child's First and Last Name (#2)
Child's Age
Last Grade completed
Does your child have any food allergies, medical concerns, or other special needs that the DVBS staff should be aware of?
Child's church information: (check all that apply)
Child's First and Last Name (#3)
Child's Age
Last Grade completed
Does your child have any food allergies, medical concerns, or other special needs that the DVBS staff should be aware of?
Child's church information: (check all that apply)
Child's First and Last Name (#4)
Child's Age
Last Grade completed
Does your child have any food allergies, medical concerns, or other special needs that the DVBS staff should be aware of?
Child's church information: (check all that apply)
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