banner - COGIC Children's Ministry

Parent Name *

First

Last

Email *

Cell Phone *

Participant or Group Name *

Please list name and age of all participants *

Category *

Vocal
Dance
Instrumental
Spoken Word

Local Pastor *

Local Church *

Jurisdictional Bishop *

Jurisdiction *

By selecting this box: I hereby give permission for the images/video/audio recording of my child or children, to be used solely for the purposes of the AIM Children's Ministry Rising Stars Showcase promotion. I also waive any rights of compensation or ownership, my child's participation is completely voluntary. I agree to waive any claims for liability against Elder David Perry and the Church of God in Christ (and any officers, agents, or employees) which may arise from the participation of the named child in the Rising Stars showcase promotion. *

I Agree