Address:

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Teen Phone:

(###)

###

####

Days available to volunteer: *

Please check the days you are able to volunteer with VBS:

Monday

Tuesday

Wednesday

Thursday

Friday

Areas to Volunteer:

Please look at the list below and check your FIRST CHOICE where you would like to volunteer:

Assist class guide (assist in supervision of children during sessions, moving place to place, etc.)

Assist with music (sing, play instrument)

Craft

Recreation (assist with games)

Snack daily Assist with closing picnic Friday

Little VBS (assist with the care of and activities for our volunteers’ children, infant to 3+ years old)

Setup (Saturday & Sunday) and Tear down (Friday afternoon)

Areas to Volunteer:

Please look at the list below and check your SECOND CHOICE where you would like to volunteer:

Assist class guide (assist in supervision of children during sessions, moving place to place, etc.)

Assist with music (sing, play instrument)

Craft

Recreation (assist with games)

Snack daily Assist with closing picnic Friday

Little VBS (assist with the care of and activities for our volunteers’ children, infant to 3+ years old)

Setup (Saturday & Sunday) and Tear down (Friday afternoon)

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.

As the parent /guardian I GIVE my consent to transport my child to Licking Memorial Hospital or a facility recommended by the Granville Fire Dept. for emergency treatment.

As the parent / guardian I DO NOT GIVE my consent for emergency treatment.

PLEASE CHECK THIS BOX IF YOU DO NOT GIVE PERMISSION TO USE YOUR PHOTOGRAPH, for use by Granville Ecumenical VBS

I DO NOT GIVE PERMISSION