Congregation *Parent/Guardian Name *Address: *PhoneEmail *Participant Name *Age group (Select One)Ages 2-6Ages 6–8Ages 9–12Ages 13–15Ages 16–18Emergency Contact Name: *Emergency Contact Phone:Relationship to Participant: *Media Release Disclaimer *By registering for Leaders In The Kingdom, you acknowledge and consent to the use of photos and videos taken during the event in future flyers, promotional materials, social media posts, and other Leaders In The Kingdom marketing materials.Submit
