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
.
* Required
Email address
*
Your email
Personal Information
First Name
*
Your answer
Last Name
*
Your answer
Gender
*
Male
Female
Address
*
Your answer
City, State Zip
*
Your answer
Home Phone
*
Your answer
Cell Phone
*
Your answer
Date of Birth
*
MM
/
DD
/
YYYY
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.
Under 12
12 - 14
15 - 17
18 - 24
25 - 34
35 - 45
46 - 55
Over 55
Required
T-Shirt
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
*
Choose
Opt Out
YS
YM
YL
S
M
L
XL
2XL
3XL
4XL
5XL
Pastor
*
Your answer
Church
*
Your answer
Years Involved with SPLASH
*
Your answer
Are you certified in CPR
*
Yes
No
Are you certified in 1st Aid
*
Yes
No
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
*
Choose
Backyard Bible Club
Cleaning
Construction
Day Camps
Evangelism
Food Prep/Delivery*
Nursing Home
Painting
Photo*
Registration
Transportation
Wherever Needed
Option 13
2nd Choice
*
Choose
Backyard Bible Club
Cleaning
Construction
Day Camps
Evangelism
Food Prep/Delivery*
Nursing Home
Painting
Photo*
Registration
Transportation
Wherever Needed
Option 13
3rd Choice
*
Choose
Backyard Bible Club
Cleaning
Construction
Day Camps
Evangelism
Food Prep/Delivery*
Nursing Home
Painting
Photo*
Registration
Transportation
Wherever Needed
Option 13
Construction Experience
Please indicate your level of experience in the following areas - this will help us make team assignments.
Skill/Ability
*
No Experience
Amateur
Some Experience
Skilled
Professional
Carpentry/Framing
Plumbing
HVAC
Drywall
Roofing
Masonry
General Repair
Painting
Window/Door Installation
Electrical
Heavy Equipment
No Experience
Amateur
Some Experience
Skilled
Professional
Carpentry/Framing
Plumbing
HVAC
Drywall
Roofing
Masonry
General Repair
Painting
Window/Door Installation
Electrical
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:
Team Leader
*
Yes
No
Team Driver
*
Yes
No
Creative Ministry Site Coordinator
*
Yes
No
Construction Site Coordinator
*
Yes
No
Days you are available?
*
All
Thursday
Friday
Saturday
Required
1. Have you come to the place in your life where you know for certain if you died you would go to heaven?
*
Yes
No
Hope so
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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