SPLASH Registration
Please be advised a lot of information is required to process your SPLASH Registration. Please read each question thoroughly and be careful to provide complete, accurate information. This will help to insure we have adequate information to minister to the needs of you and/or your child, as well as provide for the safety and well being of all SPLASH participants. There may be some questions that you don't know the answer to, or may not apply to you. If that is the case you may enter unknown or n/a and we will follow-up with you if necessary.

Early bird special $50.00 until March 31st - Cost is $60.00 beginning April 1st. Deadline for submission is May 31st - absolutely no registration forms will be accepted after this date! If you register and then have to cancel, please note that refunds take 2 weeks to process and a $15.00 processing fee will be deducted. No refunds will be given after July 1st. Payment, along with Criminal Background Authorization Form, must be received for your registration to be complete. For your convenience, you may now submit your payment online via Paypal at www.splashgordon.net/donations--payments.

Personal Information
First Name *
Your answer
Last Name *
Your answer
Gender *
Address *
Your answer
City, State Zip *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
E-mail *
Your answer
Date of Birth *
Age *
At the time of SPLASH children under 12 MUST be accompanied by a parent or guardian; those who turn 18 between time of registration and SPLASH begins must complete Background Check Authorization Form.
T-Shirt Size *
Pastor *
Please enter name of your Senior Pastor. For participants in the 6th - 12th grade, enter the name of Youth Pastor/Director.
Your answer
Church *
Your answer
Years Involved with SPLASH *
Your answer
Are you certified in CPR *
Are you certified in 1st Aid *
Area of Service
Please indicate your top 3 choices - we will try to assign you to one of your preferences, but there are no guarantees!
1st Choice *
Please scroll through and read all choices carefully
2nd Choice *
Please scroll through and read all choices carefully
3rd Choice *
Please scroll through and read all choices carefully
Construction Experience
Construction workers rate your level of experience in the following areas
Skill/Ability *
No Experience
Some Experience
General Repair
Window/Door Installation
Heavy Equipment
Please list any equipment or tools you will be able to bring to SPLASH
Your answer
If needed, I am willing to serve in the following capacity - must be over 18 years of age to be considered.
NOTE: Team leaders supervise a team of students at ministry sites, must remain with team at all times. Site Coordinators oversee a specific project site, take materials to job site, provide instruction and supervise teams. Team Drivers need to be willing to drive their personal vehicle or a church van to transport the team on which they are serving to job sites. These positions require service all three days.
Team Leader *
Creative Ministry Site Coordinator *
Team Driver *
Construction Site Coordinator *
Days you are available *
Check all that apply - Please remember SPLASH is an opportunity to be on mission for Jesus. He and your team are depending on you to be there!!!!! Therefore, we encourage everyone to fulfill their commitment unless providentially hindered.
Beliefs Survey
Your answers on this section will not affect your ability to participate in SPLASH Gordon. We would merely like to use this information to better serve you as you serve with us.
1. Have you come to the place in your life where you know for certain if you died you would go to heaven *
2. Suppose you were to die and stand before God and He asked you, "Why should I let you into My Heaven", what would you say? *
Your answer
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