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.

***Due to COVID-19 the following changes to deadlines have been implemented: Early Registration - May 15th, 2020 - Payment and Registration form must be received by this date. Regular Registration Deadline is June 15, 2020 - Payment and Registration form MUST be received by this date to participate in SPLASH 2020!!!***

Early Registration $50.00 until March 31st - Cost is $75.00 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.
Email address *
Personal Information
First Name *
Last Name *
Gender *
Address *
City, State Zip *
Home Phone *
Cell Phone *
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.
If you do not need a T-shirt this year you may "Opt Out" and allow the cost savings be applied to project materials. Thank you for helping us be good stewards of the resources God provides!
T-Shirt Size *
Pastor *
Church *
Years Involved with SPLASH *
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 *
2nd Choice *
3rd Choice *
Construction Experience
Please indicate your level of experience in the following areas - this will help us make team assignments.
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
If needed, I am willing to serve In the following capacity:
Team Leader *
Team Driver *
Creative Ministry Site Coordinator *
Construction Site Coordinator *
Days you are available? *
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? *
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