LifeSpring Wesleyan Church - Splash Registration

Splash Pre-Registration

Please fill out one form for each child attending.

Child's First Name

Child's Last Name

Birthday

Grade

ADDITIONAL CHILD INFO

Child's First Name

Child's Last Name

Birthday

Grade

Child's First Name

Child's Last Name

Birthday

Grade

Child's First Name

Child's Last Name

Birthday

Grade

Will child need transportation from school?
Yes
No

If yes, which school
Sturgis Middle School
Sturgis Elementary School

Emergency Contact

First Name

Last Name

Phone Number

Email

Additional contact

First Name

Last Name

Phone Number