Kingdom City Church
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Online Registration Closes at 6:00pm on Sunday, June 4th, 2023!

Must have completed Kindergarten

Medical Release: I authorize Kingdom City Church to administer medical care should it become necessary, understanding that I will be contacted immediately in such an event. In the event that someone cannot be reached, I hereby authorize a church reprsentative to secure proper treatment necessary for my child named above. I accept responsibility for payment of expenses incurred as a result of medical treatment. *

Media release: By attending this event I give Kingdom City Church permission to use my child's image on church Facebook page, church website, video and other media, knowing that all media is used form promotional purposes only. *

Liability Release: I hereby release Kingdom City Church and all its participants from any liability or damage to or loss of personal property, sickness or injury from whatever source which might occur while attending this event. *

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