Drenched Wednesdays - Child Registration
Register your child to participate in our Wednesday Night Activities: Drenched! Please complete this form as the child’s parent or legal guardian. Drop-off begins at 6:15 PM in the church gym, and pick-up starts at 8:00 PM. Activities will take place every Wednesday from June 10th through July 29th at: 5065 Coldwater Rd. Lapeer, MI 48446 While children are participating in Drenched, we will also offer an adult class for parents and guardians who choose to stay on campus during the event. For parents attending the adult class, additional childcare options will be available on campus: •Nursery care for children ages 0–3 • Kids class for children ages 3 years through Kindergarten These childcare options are intended for families remaining on campus during Drenched and are not additional drop-off programs. We look forward to spending the summer with your family!
Child's Full Name
*
First Name
Last Name
Child's Birthday
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
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Day
Please select a year
0
01
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01111
Year
Grade Entering in the Fall 2026
*
Please Select
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Do you currently attend church?
*
Yes
No
If so, where?
Parent/Guardian Full Name
*
First Name
Last Name
Parent/Guardian Phone Number
*
-
Area Code
Phone Number
Parent/Guardian Email
*
example@example.com
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
Emergency Contact(s)
*
List any allergies
*
List any medical conditions
*
Activity restrictions (if any)
*
Permission for water games
*
Yes
No
Permission to participate in a light dinner and dessert
*
Yes
No
Authorized Pickup Adults- I understand that my child must be signed in and signed out by an authorized adult.
*
Will the parent/guardian stay on campus or drop off?
*
Stay on campus
Drop off
Permission for photo/video of child during the event
*
Yes-I give permission for my child to be photographed or recorded during Summer Games. I understand that photos or videos may be used by The Dwelling for ministry-related purposes, including church presentations, printed materials, website, and social media.
No- I do not give permission for my child to be intentionally photographed or recorded, except where my child may appear incidentally in the background of large-group photos or videos.
Parent/Guardian Typed full name
Parent/Guardian Electronic Signature
*
Date of Signature
*
-
Month
-
Day
Year
Date
Address: 5065 Coldwater rd, Lapeer, Mi. 48446.
Office Phone Number: 810-545-0115.
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