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PBC Kids Enrollment Form
Use the form below to register your child for our PBC Kids ministry.
"
*
" indicates required fields
Child's Name
*
First
Last
Gender
*
Child's Address
*
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
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Delaware
District of Columbia
Florida
Georgia
Guam
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New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
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Pennsylvania
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Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Does your child have any known food allergies? If so please explain.
*
Yes
No
Allergy Information
*
Mother's Name
*
First
Last
Mother's Cell Phone
*
Text?
*
Yes
No
Mother's Email Address
*
Is Mother a member of a church?
*
Yes
No
If so, where?
*
Father's Name
*
First
Last
Father's Cell Phone
*
Text?
*
Yes
No
Father's Email Address
*
Is Father a member of a church?
*
Yes
No
If so, where?
*
Who does the child live with?
*
Both Mother & Father
Mother
Father
Other
If other, please specify?
*
Emergency Contact If parents CANNOT be reached:
Name
*
First
Last
Relation to Child
*
Primary Phone
*
Phone Type
*
Cell Phone
Home Phone
Work Phone
I give Providence Baptist Church permission to seek emergency medical care for my child in the case I cannot be contacted immediately. In addition, I give Providence Baptist Church permission to photography my child and use those photos in promotional materials.
Medical Care Signature
*
Date
*
MM slash DD slash YYYY
Release List
Dear Parents,
To increase the safety of our King’s Kids we require each child to have a release list. Parents/Guardians must fill out and sign the form below. No child will be released to anyone that is not on their release list. IDs maybe required so make sure everyone on your release list brings in their ID when signing out your child.
My child will attend the following at Providence Baptist Church:
*
Sunday School (9:15 – 10:15 am Sundays East Campus)
Children Church (10:45 am – 12:00 noon Sundays West Campus)
Children’s Choir (5:00 – 6:00 pm Sundays East Campus)
GA’s-Girl’s Mission Group (6:00 – 7:00 pm Sundays East Campus)
RA’s-Boys Mission Group (6:00 – 7:00 pm Sundays East Campus)
King’s Kids (6:00 – 7:30 pm Tuesdays East Campus)
Release List
*
Name
Phone Number
Add
Remove
To add an additional person, click the "+" at the end of the row.
Parent Signature for Release
*
Date
*
MM slash DD slash YYYY
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About
Schedule
Calendar
Staff
What We Believe
Membership
How To Become a Christian
History
Ministries
PBC Kids
PBC Youth
Senior Adults
Men’s Ministry
Women’s Ministry
Sunday School
Discipleship – Deeper Roots
Worship Arts
Missions
Resources
Newsletter
Campus Map
Weddings
Search the Bible
Update Member Info
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CDC (Daycare)
Community Luncheon
Easter Celebration
Fall Festival
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Live Streaming
Select a sermon to view:
October 6
Genesis 12:1-3 – “Chosen”
October 13
Daniel 6:1-23 – “Trust and Obey…”
CLOSE
Select a sermon to view:
September 1
Psalm 116:1-9 – “Grief and Depression”
September 8
Hebrews 13:7-17 – “Remember”
September 15
John 14:1-6, 16, 27 – “Have Faith”
September 22
Matthew 28:16-20 – “The Great Commission”
September 29
Acts 11:1-26 – “Christians First…”
CLOSE
Select a sermon to view:
August 4
Ephesians 6:10-17 – “Finally, Be Strong”
August 11
Luke 5:1-11 – “Lead Us Lord”
August 18
Matthew 5:14-16, Isaiah 49:6 – “Light for Dark Days”
August 25
Matthew 5:13 – “The Salt”
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Select a sermon to view:
July 7
Ecclesiastes 3:1-2, Ephesians 2:8-10 – “Seasons of Life”
July 14
John 1:29-34 – “Point Them to Jesus”
July 21
Luke 10:25-37 – “Pass Me Not”
July 28
Luke 22:7-23 – “What the Lord’s Supper Means to Us”
CLOSE
Select a sermon to view:
June 2
Mark 10:13-16 – “Let the Little Children Come”
June 9
John 3:14-17 – “The Most Important Decision”
June 16
Luke 15:11-24 – “The Loving Father”
June 23
Luke 15:25-32 – “Your Son… Not My Brother…”
June 30
Psalm 33:10-12 – “Only with God’s Help”
CLOSE
Select a sermon to view:
May 5
Psalm 100 – “What Would We Do Without Our Music”
May 12
Psalm 135:3, Isaiah 41:13 – “Sing Praises”
May 19
2 Timothy 1:12-16, 2:1-4 – “Stand Your Ground”
May 26
Part 2
1 Samuel 7:1-13 – “Ebenezer… We Remember”
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Select a sermon to view:
April 7
Luke 24:13-34 – “On the Road…”
April 14
2 Peter 1:16, Hebrews12:2 – “Go on…”
April 21
John 3:16, Acts 4:10-12, Philippians 2:9-11 – “Savior and Lord”
April 28
Dr Rick Lance, Guest
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Select a sermon to view:
March 3
Isaiah 6:1-8 – “Where Could We Go?”
March 10
2 Timothy 4:1-5 – “Passing the Faith Along”
March 17
Matthew 26:36-46 – “Watch and Pray…”
March 24
Luke 23:32-46 – “The Cross…”
March 31
I Corinthians 15:12-26 – “What if…”
CLOSE
Select a sermon to view:
February 4
Matthew 11:1-6 – “It’s Gonna Get Worse”
February 11
Hebrews 12:1-4 – “At Another Stadium”
February 18
Hebrews 11:1-7 – “Keep the Faith”
February 25
Luke 11:1-7 – “Help’s On the Way”
CLOSE
Select a sermon to view:
January 7
Psalms 116:1-9 – “He Heard Me”
January 14
Rev. Wayne Ivey
January 21
Psalm 116:10-19 – “How Can We Say Thanks”
January 28
John 3:14-17 – “Saved.. Lost…”
CLOSE
Select a sermon to view:
December 3
Isaiah 7:14, 9:6-7, Matthew 1:1-17 – “A Season of Expectations”
December 10
Matthew 1:18-25 – “Joseph, Man of Integrity”
December 17
Isaiah 11:28-30 – “Weary and Burdened”
December 24
Luke 2:1-20 – “Angels We Have Heard On High”
December 31
Matthew 2:1-18 – “The Original Seekers”
CLOSE
Select a sermon to view:
November 5
Ephesians 6:10-13 – “Timeless Truths… Soldier on…”
November 12
Ephesians 6:14-17 – “Timeless Truths… Stand and Withstand…”
November 19
John 13:36-38, 14:1-6 – “Our Hearts Are Troubled”
November 26
John 11:17-44 – “The Lord is My Help”
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Select an event to view:
8/4/20
Homecoming Concert
11/17/20
James Brown Trio
12/15/21
One Quite Night Christmas Musical
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