Little VBS Registration

Page 1 of 8

Little VBS
  1. Questions about LVBS: Contact Beth Havill
    Email Address: havillb@denison.edu
    Phone Number: (740) 587-7935

    Little VBS is child care and age appropriate theme-based Granville VBS curriculum for children (newborn through 3+) of adult volunteers on the days they are scheduled to volunteer. Should your volunteer assignment require care beyond the times listed below, please contact us and we will be happy to make arrangements.

    Little VBS Hours
    Monday 8:15am-Noon
    Tuesday 8:30am-Noon
    Wednesday 8:30am-Noon
    Thursday 8:30am-Noon
    Friday 8:30am-11:00am

  1. Parent/Guardian Information

  2. First Name
    Enter your first name.
  3. Last Name
    Enter your last name
  4. Primary Phone
    Enter your primary phone number
  5. Other Phone
  6. Email
    Enter your email
  7. Child's Information

  8. First Name
    Enter student's first name.
  9. Last Name
    Enter student's last name
  10. Date of Birth
    Invalid Input
  11. Age as of 6/1/2017
    Enter student's age
  12. Gender
    Please select
  1. Child's Care

  2. COMFORT LEVEL
  3. Has your child had previous group care experience? (Church nursery, gym nursery, etc.)
  4. please select
  5. Best way to comfort your child? The text box will expand to accommodate your information.
  6. Invalid Input
  7. NAP ROUTINE
  8. Should your child nap during VBS?
  9. please select
  10. Please describe your child’s nap routine. The text box will expand to accommodate your information.
  11. Please include any nap routine
  12. DIAPERING/BATHROOM
  13. What will your child wear?


  14. Please select
  15. What should we know about his/her diapering needs/bathroom routine? The text box will expand to accommodate your information.
  1. Child's Medical

    Please select one.

  2. Invalid Input
  3. Include detailed information in the field below including symptoms to watch for, actions to be taken, specific instructions for the administration of any needed medications (including epi-pens), and follow-up procedures.

    The text box will expand to accommodate your information.
  4. Invalid Input
  1. Child's Care Continued

  2. SNACKS
  3. We will have two snack times most days. Children are usually offered the standard VBS snack that all campers receive plus another healthy snack.

    Please select one snack option below.


  4. Select one
  5. Describe any feeding schedule or routines. The text box will expand to accommodate your information.
  6. OTHER LOCATIONS

    We plan to have some children participate in the daily morning assembly and in other activities throughout VBS.
  7. May we take your child to other spaces?
  8. please select

  9. Will it be okay if your child sees you?
  10. please select
  11. LVBS is a lot of fun!

    Detailed information about our program and activities will be emailed to you in June.

    Is there anything else you would like us to know? The text box will expand to accommodate your information.

  1. Pick Up Authorization

    (Optional)

    Please provide the name(s) of adults other than parent/guardian authorized to pick up your child from Granville VBS.
  2. Authorized Adult 1
    Invalid Input
  3. Phone
    Invalid Input
  4. Authorized Adult 2
    Invalid Input
  5. Phone
    Invalid Input
  6. Little VBS Attendance

    Please indicate the day(s) your child will attend LVBS.

    Monday 8:15am-Noon
    Tuesday 8:30am-Noon
    Wednesday 8:30am-Noon
    Thursday 8:30am-Noon
    Friday 8:30am-11:00am

    Reminder: LVBS is provided for parents only on the day(s) they volunteer. Should your volunteer assignment require care beyond the times listed above, please contact us and we will be happy to make arrangements.




  7. Invalid Input
  1. Emergency Release



    Granville Ecumenical VBS has a volunteer nurse each morning to help us provide the safest environment for all participants. Every effort will be made to notify parents of any concerns. However, if there should be a need for medical care and we are not able to reach the parent, and the incident is beyond the scope of our nurse, we want to access the care needed through our Granville Fire Department and Emergency Squad.

    Please complete one of the following.

  2. Invalid Input
  3. Parent/Guardian Signature
    Please sign
  4. Others to notify if we cannot reach a parent

  5. Contact Full Name
    Enter a contact name
  6. Phone
    Enter a contact's phone
  7. Relationship
    Invalid Input
  8. Contact Full Name
    Enter a contact name
  9. Phone
    Enter a contact's phone
  10. Relationship
    Invalid Input

  1. Do you give permission to Granville VBS to photograph your child for use by Granville VBS?

    select one