2025 Spiritual Growth Conference Registration

First Name

Last Name

Phone Number

Choose One

Adult

Child (No Childcare Required)

Students (Register below if participating in the overnighter)

Add a Child (Saturday Only Programming for Infant- 5th Grade)

Yes

First Name

Last Name

Gender

Birthdate

Grade

Allergies

Yes

Important Information:

Starts: Friday, February 21 at 6:30pm
Ends: Saturday, February 22 at 12:30pm

Students will attend the Friday session of the conference together and stay overnight at KCC and then attend the Saturday morning session of the conference together.

*Guys and girls will sleep in separate rooms with staff and adult leaders providing supervision.

*Students may not leave KCC during the overnighter and would not be allowed to return until the Saturday morning session.

*Please bring:

a sleeping bag
pillow
toothbrush and toothpaste
deodorant
clothes for Saturday
Bible, notebook, pen

All items should be brought with students when they arrive by 6:30pm on Friday evening.

*What NOT to bring: Pets, Weapons of any kind, alcohol, drugs, cigarettes, vaping devices and anything your parents ask you not to bring. :)

Email Amanda if you have any questions!

Student Ministries Overnighter Registration

First Name

Last Name

Phone Number

Gender

Birthdate

Grade

Allergies

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

Emergency Parent/Guardian First Name

Emergency Parent/Guardian Last Name

Emergency Parent/Guardian Phone Number

The following questions are required, but if you are unable to provide health insurance information for the following, please input "NA" for each response.

Insurance Company/Group

Policy Number

Family doctor name and phone number

Waiver Statement*

By filling out and submitting this form, I agree to the following:
In the event of a medical emergency, I do hereby give my permission for Angela Amerine, Christian Arbour or any Kentwood Community Church leader to make any necessary medical decisions regarding treatment for my son/daughter without the necessity of first notifying me, and do further agree to hold blameless any physician, hospital or other medical center for rendering such services. I do understand that if an emergency should occur, every effort will be made to contact me as soon as possible.
I also grant permission for photographs of my child to be used in promotion of Kentwood Community Church, unless otherwise noted.
Further, I do hereby release from all liability, Kentwood Community Church, in the event of any accident incurred during an activity on campus, as well as any accident incurred en route, during, or returning from any activity off campus sponsored by Kentwood Community Church.
By submitting this online form, I confirm that I have read, understand and agree to the above terms.

Parent Authorization

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