Kingdom Empowerment
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TRANSPORTATION

AND MEDICAL LIABILITY FORM 
    ​I, the undersigned parent or legal guardian of the child names below, do hereby grant my permission and consent for the said child to attend and participate in the events and activities of Kingdom Empowerment Christian Church Inc. both on and off church grounds, including the necessary transportation to and from these events and activities.

    I further agree not to hold Kingdom Empowerment Christian Church Inc., any of it’s paid staff or volunteers responsible for any accident that may occur on the way to, from, or during an event. I indemnify, defend, and hold harmless Kingdom Empowerment Christian Church Inc. for all claims made and liabilities assessed against them as a result of any activity or event. I release Kingdom Empowerment Christian Church Inc. it's paid staff or volunteers and all medical providers from liability in acting on my behalf in this regard and rendering such medical treatment. I assume the risk and financial responsibility for any injury resulting from an event or activity. 

    By signing below, I am acknowledging that I have read through and understand the above statements.
    Emergency Point of Contact must be over the age of 18 and have the permission of Parents/Guardians 
    Please type full name
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Kingdom Empowerment Christian Church
P.O.Box 564 Seaford, DE 19973
ph: (302) 262-9095
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  • HOME
    • OUR PASTORS
    • BABY DEDICATION
    • BENEVLOENCE
    • KNOW JESUS
    • MINISTRY ENGAGEMENT
    • PRAYER
  • ABOUT US
    • MISSION AND VISION
    • WHAT WE BELIEVE
  • COMING UP
  • PARTNERSHIP
    • SERVE
    • PARTNERSHIP UPDATE
  • GIVING
    • KINGDOM FOCUS
    • Gift Card Drive
  • WATCH
    • KINGDOM NATION