Riverpoint Church - Kingdom Camp 2026

Kingdom Camp 2026 Registration

Join Citylight and Riverpoint Church for Kingdom Camp! At Kingdom Camp, kids will play sports, learn how to be a great teammate, engage in creativity through art, and most importantly, learn about the amazing adventure of living life with Jesus. Join us this summer on June 9th-12th at Kingdom Camp!

When: June 9th-11th from 5:15 pm-8:15 pm
June 12th- Family Kingdom Camp Night- 6:00-8:00 PM (Food, Fun, Inflatable Waterslide)
Where: Citylight Church (4736 Bryce Ave. Fort Worth 76107)

Child's First Name

Child's Last Name

Child's Gender

Child's Birthdate

Child's School

Child's Grade

Does your child have any allergies?

Parent First Name

Parent Last Name

Parent Email

Parent Phone Number

Home Address

City

State

Postal / Zip Code

EMERGENCY CONTACT INFORMATION

Primary Emergency Contact Name

Primary Emergency Contact Phone Number

Secondary Emergency Contact Name

Secondary Emergency Contact Phone Number

If registering additional children, please add their information here:

Child First Name

Child Last Name

Child's Gender

Child Birthdate

Child Age

Child Grade

Does your child have any allergies?

Medical Emergency Information Form

Riverpoint Church and Citylight Church

I hereby give authority to the minister or person in charge to secure any medical and/or surgical treatment needed for my child in the event of an emergency due to sickness or accident while involved with the activity of Citylight Church and Riverpoint Church, Fort Worth, Texas. I realize my signature below indicates that this form is good for any and all activities that my child is involved in with Citylight Church and Riverpoint Church for the year 2026 and that if any of the information below changes I will contact the church with this information. I understand that our family physician will be contacted if possible, but in the event that he/she cannot be reached, the minister/person in charge may choose a reputable physician. I will not hold Citylight Church or Riverpoint Church, the minister/person in charge or the physician they choose, responsible for any actions taken on behalf of my child.

First and Last Name of Parent or Guardian

Signature of Parent or Guardian

Date of last tetanus shot or booster:

Family Physician:

Physician Office Phone:

Please list medical insurance information (name, policy number, phone number)

Please list any allergies to medications:

Please list other allergies -- food, insects, and natural elements:

List any medication your child takes on a regular basis (Name of Medication / How often it is taken / How much)

If unable to reach parent/guardian, who should be notified?

First Name of Emergency Contact

Last Name of Emergency Contact

Phone Number of Emergency Contact

Is there anything else we might need to know?

IF REGISTERING MORE THAN ONE CHILD, PLEASE COMPLETE ADDITIONAL WAIVER

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Kingdom Camp 2026 Registration

If registering additional children, please add their information here:

Medical Emergency Information Form

Riverpoint Church and Citylight Church

*IF REGISTERING MORE THAN ONE CHILD, PLEASE COMPLETE ADDITIONAL WAIVER*

IF REGISTERING MORE THAN ONE CHILD, PLEASE COMPLETE ADDITIONAL WAIVER