WELLSPRING'S 40TH ANNIVERSARY CELEBRATION

WELLSPRING'S 40TH ANNIVERSARY CELEBRATION
"Celebrating 40 Years of Impact"
📅 Friday, September 18, 2026 - Saturday, September 19, 2026

Location: All events associated with Wellspring's 40th Anniversary Celebration will be held at the Wellspring Center and grounds.

Address: 16742 Lamphere Street, Detroit, MI, 48219
EVENT REGISTRATION and PAYMENT INSTRUCTIONS

Please complete all sections of this registration form. The form will automatically calculate your Total Amount.

PAYING ONLINE:

1. Complete the registration process to include all event, sponsorship, and donation selections.

2. Enter the total amount in the "For Online Payment Field Only."

3. Complete payment through PayPal.

4. IMPORTANT: After PayPal/Online payment, click RETURN TO MERCHANT to finalize your registration.

PAYING BY CHECK:

1. Complete the registration process to include all event, sponsorship, and donation selections.

2. The form will total for you. DO NOT ENTER THE TOTAL AMOUNT IN THE FOR ONLINE PAYMENTS ONLY Box.

3. Select Either:
- Mail a Check or,
- Deliver a Check to Wellspring
5. Submit your registration

6. Make Checks Payable to Wellspring (If mailing send to: Wellspring 16742 Lamphere Street, Detroit, MI, 48219
Registrations are requested for all individuals attending the anniversary events.

A SEPARATE REGISTRATION IS REQUESTED FOR GUESTS
Registrant Information
First Name
Last Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address: Used for confirmation and communications.
example@example.com
Phone Number
Format: (000) 000-0000.
Company/Organization (Optional)
Names of Additional Adult Family Members Attending
Names of Children Attending
Total Number in Family Attending
Additional Information (Food allergies, accessibility needs, or anything else you would like us to know).
CONNECTION TO WELLSPRING
Please select the option that best describes your connection to Wellspring:
EVENT SELECTIONS
Alumni Family Picnic: There is no cost to attend the Alumni Family Picnic. Donations Are Welcomed and Appreciated.
Meet & Greet, Tours, Main Celebration Event & Dinner: These Events Are Free to Attend. Donations Are Welcomed and Appreciated.
Please indicate which events you and/or your family plan to attend:
OUTDOOR BUFFET FUNDRAISER SUPPORT
Guests attending the Outdoor Buffet Fundraiser may select the level of support they would like to contribute. Contributions help support Wellspring's mission and assist with anniversary celebration expenses. In the boxes below, please indicate the number and names of the individuals attending the Outdoor Buffet Fundraiser. The contribution level selected below represents your party's collective gift for the Outdoor Buffet Fundraiser.
Names of Individuals Attending The Buffet Fundraiser (If Not Attending Please Put "Not Attending")
Total Number Attending The Buffet Fundraiser (If Not Attending Please Put a "Zero")
SPONSORSHIP OPPORTUNITIES
Your sponsorship of Wellspring's 40th Anniversary Celebration helps support youth development programming while assisting Wellspring in hosting a meaningful celebration for community members, alumni, participants, and supporters.
Sponsor Recognition Promotional Materials Includes:
Leadership, Community, Justice & Reconciliation Sponsors
- Prominent name and logo placement on event signage
- Prominent placement on printed materials
- Recognition on the Wellspring website for 12 months
Youth Development & Wellspring Friend Sponsors
- Name and logo displayed on event signage
- Recognition on printed materials
- Recognition on the Wellspring website for 12 months
SPONSOR INFORMATION
Sponsorship Level:
Contact Person:

First NameLast Name
Contact Person Title:
Company/Organization:
Official Sponsor Name: (For example, Wellspring)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Upload an Official Logo:

Cancelof
DONATIONS

Please know that your donations are greatly appreciated. They will help to cover the costs of Wellspring's 40th Anniversary Celebration and also go toward fulfilling Wellspring's mission of "assisting urban youth in developing themselves spiritually, socially, academically, and economically." Use the payment method below or the Check Payment Option to make a Donation.
DONATION AMOUNT (If Not Donating Today Please Put A "0" In The Box)
CHECK ONLY PAYMENTS
Those wishing to pay by check for registrations, sponsorships, or donations may make checks payable to:

Wellspring
16742 Lamphere
Detroit, MI 48219
TAX INFORMATION
Wellspring is a 501(c)(3) nonprofit organization. Contributions are tax-deductible to the fullest extent permitted by law.

Federal Tax ID: 38-3043083
Questions? Contact Dan Bandrowski O: (313) 255-9085/C: (313) 212-9349 E: danbandrowski@wellspringdetroit.org -OR- Contact Sonja Hall O: (313) 255-9085 E: sonja@wellspringdetroit.org
Thank you for helping Wellspring celebrate 40 years of impact, faith, leadership, and transformation in Northwest Detroit.
Wellspring Is A Faith-Based Youth Development Organization With A Mission: "To Assist Urban Youth In Developing Themselves Spiritually, Socially, Academically, and Economically". Our Christian Identity Leads Us to Provide High Quality Programming to All Regardless of Religious Interest or Affiliation.
TOTAL AMOUNT:
FOR ONLINE PAYMENTS ONLY: ENTER THE TOTAL AMOUNT SHOWN ABOVE INTO THIS BOX. IF PAYING BY CHECK or Not Donating Today, Please Leave This Box Blank:

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WELLSPRING'S 40TH ANNIVERSARY CELEBRATION

"Celebrating 40 Years of Impact"

Registrant Information

CONNECTION TO WELLSPRING

EVENT SELECTIONS

Alumni Family Picnic: There is no cost to attend the Alumni Family Picnic. Donations Are Welcomed and Appreciated.

Meet & Greet, Tours, Main Celebration Event & Dinner: These Events Are Free to Attend. Donations Are Welcomed and Appreciated.

OUTDOOR BUFFET FUNDRAISER SUPPORT

SPONSORSHIP OPPORTUNITIES

Sponsor Recognition Promotional Materials Includes:

SPONSOR INFORMATION

DONATIONS

CHECK ONLY PAYMENTS

TAX INFORMATION

Questions? Contact Dan Bandrowski O: (313) 255-9085/C: (313) 212-9349 E: danbandrowski@wellspringdetroit.org -OR- Contact Sonja Hall O: (313) 255-9085 E: sonja@wellspringdetroit.org

FOR ONLINE PAYMENTS ONLY: ENTER THE TOTAL AMOUNT SHOWN ABOVE INTO THIS BOX. IF PAYING BY CHECK or Not Donating Today, Please Leave This Box Blank: