KIDS' BLAST SOUTH
For Kids in 2nd-5th grade

Hosted by Springhill Christian Center
12150 N. Rooker Rd., Mooresville, IN 46158


Registration includes lunch.
Registration for this event will remain open until noon on February 8.
Price increases to $35 on January 19.
T-shirts must be ordered by January 19.
All registrations are transferable, but not refundable.

Group Coordinator Information

Group Registration

($25.00/ea.)

T-shirts

($20.00/ea.)
($20.00/ea.)
($20.00/ea.)
($20.00/ea.)
($20.00/ea.)
($20.00/ea.)
($20.00/ea.)
($20.00/ea.)
($20.00/ea.)
($20.00/ea.)
($20.00/ea.)

Group Coordinator/Guardian Consent

As the Group Coordinator, I understand that reasonable safety precautions will be taken for my students. On behalf of the parents of these students, I/we agree to not hold liable the Indiana District of the Assemblies of God, District leadership, or the local church group or leaders responsible for any accidents. I/we understand that first aid supplies will be available on location. I/we give consent for on-site leadership to provide any treatment to my child that they deem necessary. I/we, furthermore, understand photos and videos of this event will be taken and give consent that any such taken of my students may be used in publications and/or for promotional purposes.



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