Annual Church Picnic 2025 • Kingdom Christian Church

Adult OR Child? *

First Name *

Last Name *

Age Group *

Email Address *

How did you hear about the event? *

Would you like to receive emails about KCC and future events? *

Phone Number *

Does the child plan to jump in the Bounce House? *

Will you be participating in Kingdom's Got Talent Show? *

What type of performance will you do? *

Is this a solo or group act? *

Please provide the name(s) and age(s) of the members of your group: *

Please provide what "other" talent you'd like to perform: *

Please provide the name of the song *

Will you be participating in the Family Field Day Competitions? *

Will you be participating in the Basketball Shootout Competition? *

Tip: Males ages 8+

Team Type *

Child's name for tournament? *

Emergency Contact Name: *

By checking the box below, I acknowledge that a signed waiver may be required to participate in the activities *

Acknowledgment of Waiver Notification

Emergency Contact Number: *

General Registration 0