Winter/Spring 2025 After School Clubs

Winter/Spring 2025 Art & Game Clubs

Thursdays, 4-5 p.m. Jan. 9 - May 8 (No clubs on Jan. 23, March 20, April 17 or April 24). Hosted at Providence School of Arts.
Child's Name*

First NameLast Name
Grade Child Entered in Fall 2024*
Child's Phone Number
Child's Birth Date*

MonthDayYear
Child's Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Which Club is your student interested in?*

Art Club: Weekly art projects themed around scriptureGame Club: Weekly games themed around scripture
In Case of Emergency
Guardian Name*

First NameLast Name
Relationship to student
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Guardian Cell phone*
Work phone
Guardian Email*
example@example.com
General Medical History
Allergies? We provide snacks, so this is important. Check all that apply

FoodMedicationEnvironmental
Please list and explain any allergies
List any ongoing Medical Conditions (asthma, seizures, headaches) that we should be aware of:
Should be Empty:

Winter/Spring 2025 Art & Game Clubs