2024 Cultivate

Name

Address

Cell Phone Number

Church Name

Church City

Association

KBC Region

Registration (Lodging NOT Included)

Leadership Team / Scholarship

Do you have any dietary restrictions?

PHOTO & VIDEO CONSENT / RELEASE

During this event, KBC will/may be recording (audio and video) and photographing. Most likely, you will be filmed, recorded or photographed as part of the audience or individually. By your attendance, you are granting your permission to be recorded or photographed for commercial purposes and agree to the following: being recorded, filmed or photographed by any means; commercial or any other use of your likeness, voice and words without compensation; specifically waving all rights of privacy during the filming, recording or photographing and release Kentucky Baptist Convention from liability for loss, damage, or compensation from the commercial or other use of your likeness, image, voice or word; compliance with all rules and regulations of KBC for this event. PLEASE GIVE YOUR CONSENT BY CHECKING THE BOX.

Admin use only

Total

$0.00

October 25-26, 2024