Page 27 | Kingdom Culture Church

Sundays Starting at 11 am

Preparing For Impact

We are dedicated to partnering with parents to lead Children to become fully devoted followers of Christ.

Through age-specific lessons, activities, and small groups, children ages 5 - 12 learn biblical truths and real life lessons they can apply to their lives every week in KCC kids .

Name (Required)

Email Address (Required)

Your Phone Number (Required)

Please provide the phone number of the parent or guardian that will be accompanying the child to KCC. We will be using this contact to connect with this individual via text message while the child is in our care.

Emergency Contact (Required)

In the event of an emergency, who do we contact? Phone number?

Allergies or Medical Info (Required)

Please be specific. Give examples. i.e. : red dye ( flaming hot Cheetos) Or Severe Asthma (keeps pump in right pocket)

What is your T-Shirt Size?

Youth Small

Youth Medium

Youth Large

Youth Extra Large

Adult Small

Adult Medium

Adult Large

Birthday

Your Address

Kingdom Culture Church

105 Sandra St.
Perry FL. 32348

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