Student Enrollment

Parent/Gaurdian's First Name *

Parent/Gaurdian's Last Name *

Student's First Name *

Student's Last Name *

Email *

Phone *

Student's Birthday *

Address

Emergency Contact Name *

Emergency Contact Number *

Relationship to Student *

Are You interested in volunteering with The Spring?

By enrolling your student into the program, you acknowledge that you have the right to do so. Additionally, you agree to be contacted by Lifespring SDA Church regarding events, lessons, and resources available to your student.

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