Child's Name (required)

Parent/Guardian Name (required)

Email (required)

Phone Number (required)

Child's Age

Mailing Address

LifeCity Church takes pictures and video during this KidsTown Live! for sharing, nostalgia, and promotion of future events. By completing and submitting this form, you give consent for LifeCity Church to take and use photography and/or video that may include your child. (Any images/video containing your child can be made available upon request).

Any Questions?

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