First Name:
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Last Name:
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Date of Birth:
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Age
0
1
2
3
Gender:
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Parent / Guardian:
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Phone:
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(###)
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Email:
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Please indicate the day(s) you are volunteering & your child will attend LVBS (Should your volunteer assignment require LVBS beyond the times listed below, please contact us and we will be happy to make arrangements):
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Please select if you do or do not give permission to photograph your child, for use by Granville VBS.
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Has your child had any previous group care experiences (church nursery, daycare, gym nursery, etc.):
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What are some ways to comfort/distract your child?
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Should your child nap during Little VBS?
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If yes, please describe your child's nap routine: (or N/A)
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During Little VBS, what will your child wear?
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What should we know about his/her diapering needs/bathroom routine? (or N/A)
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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 check one:
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Please describe feeding schedule, routines, or other information you wish us to know: (or N/A)
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We plan to have some children participate in the daily morning assembly and in other activities on the grounds. May we take your child to other spaces?
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Will it be okay if your chid sees you?
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Person 1 (age 14+) or N/A:
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Cell Number for Person 1 or N/A:
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Person 2 (age14+) or N/A:
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Cell Number for Person 2 or N/A:
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Does your child have any special needs, food allergies, and/or medical conditions?
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Please explain in detail any special needs, food allergies or medical conditions of which we need to be aware. Include DETAILED INFORMATION about all symptoms to watch for, actions to be taken, specific instructions of any needed medications (including epi-pens), and follow-up procedures. (or N/A if your child has no special needs, allergies, or conditions)
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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.
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Name:
*
First Name
Last Name
Relationship:
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Cell Phone:
*
(###)
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More Information: Detailed information about LVBS will be emailed to you in June. Please use the space below for any other information you would like us to know.
