Community VBS 2024 Hosted by Pratt First United Methodist Church in conjunction with Pratt Presbyterian Church Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student's Name *FirstLastParent/Family/Guardian Name *FirstLastStreet Address *City, State, Zip *Email Address *Home Phone *Cell Phone *Work Phone *Date of Birth *Age *SELECT AGE45678910111213Last school grade completed *Select GradePreKKindergartenFirstSecondThirdFourthFifthHome Church (if any) *Friends of your child at this church *Pratt First United Methodist Church or Pratt Presbyterian ChurchSpecial Needs/Allergies/Medical Information/Other: *Emergency Contact *FirstLastPhone Number *Emergency Contact *FirstLastPhone Number *Name(s) of person(s) who may pick this child up from VBS *Photo Release *YesNoChurch/VBS has my permission to use my child’s photograph publicly in VBS materials. I understand the images may be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use.Parent/Guardian's Signature *Full NameDate *Submit