Spring Fling Registration

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Event location: Shadow Rock Church - 79-390 Hwy 111 La Quinta, CA 92253
Contact: (760) 771-0101

Email *

Your name: *

How many kids will be attending?

Child #1 name:

Child #1 gender:

Male

Female

Clear selection

Child #1 grade:

Child #2 name:

Child #2 gender:

Male

Female

Clear selection

Child #2 grade:

Child #3 name:

Child #3 gender:

Male

Female

Clear selection

Child #3 grade:

Child #4 name:

Child #4 gender:

Male

Female

Clear selection

Child #4 grade:

Child #5 name:

Child #5 gender:

Male

Female

Clear selection

Child #5 grade:

Child #6 name:

Child #6 gender:

Male

Female

Clear selection

Child #6 grade:

Emergency Contact Name and Phone #:

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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