Spring Fling Registration
Event location: Shadow Rock Church - 79-390 Hwy 111 La Quinta, CA 92253
Contact: (760) 771-0101
Email address *
Your name: *
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How many kids will be attending?
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Child #1 name:
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Child #1 gender:
Child #1 grade:
Child #2 name:
Your answer
Child #2 gender:
Child #2 grade:
Child #3 name:
Your answer
Child #3 gender:
Child #3 grade:
Child #4 name:
Your answer
Child #4 gender:
Child #4 grade:
Child #5 name:
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Child #5 gender:
Child #5 grade:
Child #6 name:
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Child #6 gender:
Child #6 grade:
Emergency Contact Name and Phone #:
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Thank you for registering! Please arrive between 9:30-9:45a on Wednesday for check-in. If there is any additional info you would like us to know about or questions you have, please enter it below:
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