Student Registration Form

Registration is open March 17 - May 13, 2019

Please use this VBS registration form for children 4 years old by September 30 of this year to entering grade 6. Please enter the grade your child WILL BE entering in the fall (next school year).


Registration Form:

Please complete one registration per child.

Name: *
Name:
Address: *
Address:
Phone: *
Phone:
Please check if you DO NOT GIVE PERMISSION TO PHOTOGRAPH YOUR CHILD, for use by Granville VBS:
Dismissal Information:
Emergency Medical Information:
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 choose one of the following:
Others to Notify if We Cannot Reach a Parent:
Emergency Contact Name:
Emergency Contact Name:
Phone:
Phone:


After you have registered all of your students for VBS - Don’t forget the last step….