Kids Convention Sign-up

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Email *

Child's First Name *

Child's Last Name *

Parent/Guardians Name *

Parent/Guardians Phone Number *

Emergency Contact Name *

Emergency Contact Phone Number *

I give permission for my child to ride with Berean Kids Leaders as transportation for this event. *

Yes

I give permission for my child to be in photos and videos used by Berean AG and other participating churches on their social media pages. *

Yes

I will fill out this form and send a scanned copy to Sarah Callahan at sarah.c@bereanag.org or I will fill out this form in-person prior to or upon drop-off for Kids Convention.

https://drive.google.com/file/d/1TwrJL12VQ5RIOS3vLpSmH3CxgMJ6P4UW/view?usp=sharing

Yes

Cost is $40 to participate if registered by October 17th. If registered after that time cost will go up to $50.

Payment can be made in person or online via this link: https://faithlife.com/berean-ag/give?funds=51138

I have already paid (online or in person)

I will pay (online or in person)

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