KCC TRANSPORTATION PAYMENT FORM

Sunday, September 14 - KCC TRANSPORTATION PAYMENT FORM

Travel Fee to travel from Jacksonville, FL to Charlotte, NC on Sunday, September 14 via Bus/Van. (Departs at 4:00am from The View, 9570 Regency Square Blvd, Jacksonville, FL, and will return immediately following service back to Jax) - RSVP DEADLINE: 12pm Fridays
First & Last Name as Stated on Your ID (No Initials)*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
KCC Affiliation:*
Are you willing to drive one of the vans for the trip?

Yes I can!No
Will you serve during this service on your Tribe or as an Intercessor?

Yes - TribeNo - TribeYes - Intercessor (Altar Call)No - Intercessor (Altar Call)
If yes, which ministry Tribe will you serve on?
Form of Payment*

Credit/Debit Card (fill out the payment form below)Cash (Given On Site)

Payment Form (For Card Payments Only)

Sunday, September 14 Travel Fee (for Card Payments Only)The roundtrip travel fee is $20 per person for adults and youth.

$20.00 Quantity

Total

$0.00

Credit Card

Travelers Name(s)
Traveler #1
Traveler #2
Traveler #3
Traveler #4
Traveler #5
Kingdom City Church Travel Waiver & Liability Release Form
Purpose

This form acknowledges that the participant will be traveling with Kingdom City Church to attend a Sunday service in Charlotte, NC, and releases the church and its leaders from liability during travel.

Agreement

1. I acknowledge that participation in transportation organized by Kingdom City Church involves travel risks including, but not limited to, traffic accidents, injuries, or unforeseen delays.

2. I voluntarily assume all risks associated with travel.

3. I release Kingdom City Church, its staff, pastors, volunteers, and agents from all liability for injuries or losses that may occur during the trip.

4. I agree to follow all rules, guidelines, and directions from church-appointed leaders and transportation staff.

5. I give permission for emergency medical care to be provided if necessary.

6. I understand that failure to adhere to conduct expectations may result in denial of future Kingdom City Church Travel Waiver & Liability Release Form participation.
Signature of Participant (or Parent/Guardian if under 18):*

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Date*

MonthDayYear
Date
Emergency Contact Name
Emergency Contact Phone Number
Comments/Other Info:
Note: Please arrive no later than 3:45am as the Bus/Van will depart at 4:00am on Sunday from The View, 9570 Regency Square Blvd, Jacksonville, FL to Charlotte, NC (5.5-Hour Trip). It will return to Jacksonville, FL following the service (5.5-Hour Trip).

Once Submitted, please ensure you have received a confirmation email.
Should be Empty:

Sunday, September 14 - KCC TRANSPORTATION PAYMENT FORM

Credit Card

Travelers Name(s)

Kingdom City Church Travel Waiver & Liability Release Form