When: June 18-20 6:00-8:00 p.m.
Where: 182 Grandview Ln, Hendersonville, NC 28791
French Broad Baptist Church


Email address *
Child's Name *
Your answer
Child's Birthday *
Last Grade Completed *
Parent's Name *
Your answer
Email *
Your answer
Home Address *
Your answer
Mailing Address (If Different)
Your answer
Phone # *
Your answer
Which days will you attend? *
Who will pick up your child each night? *
Your answer
Emergency Contact (should be available during SPLASH) Name & Phone # *
Your answer
Medical Info or Food Allergies *
Your answer
T-Shirt Size
Do you Attend Church *
How did you hear about SPLASH? *
May we take photographs of your child? *
May we use your child's photographs in church promotions? *
By registering your child you give permission for your child to get wet and extremely messy. Your child must wear rubber soled shoes such as water shoes or aqua socks. ABSOLUTELY NO FLIP FLOPS WILL BE ALLOWED. Children must wear clothing suitable for getting wet and messy. Children will be dismissed from outside the back of the church only. Please plan to park in the front parking lot and walk around church to the back parking lot. Do you understand these instructions?
By typing your signature below you signify that you have read and understand all rules above. Failure to follow these guidelines may result in removal from SPLASH activities.
Your answer
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service