Summer Bash Registration | Brown Springs Church of God

We are so excited that you will be joining us for Summer Bash 2023!

This event will be WET AND WILD with a two lane water slide, foam "pit" and a slip and slide! So wear your play clothes, bring a towel and maybe an extra set of clothes...if you want.

We can't wait!

Name (Required)

Email Address (Required)

First Name of Parent/Guardian (Required)

Last Name of Parent/Guardian (Required)

Contact Number (Required)

Enter a phone number where you can easily be reached.

Email Address

Food Allergies: specify participant, if multiple. (Required)

We will provide lunch and snacks and want to ensure the safety of all attendees. If no food allergies, put N/A.

Participant First and Last Name (Required)

If you do not have additional participants, scroll to the end.

Age Range of Participant (Required)

4-6

7-9

10-12

Teen

Additional Participant First and Last Name

If you do not have additional participants, scroll to the end.

Age Range of Additional Participant

Additional Participant First and Last Name

If you do not have additional participants, scroll to the end.

Age Range of Additional Participant

Additional Participant First and Last Name

If you do not have additional participants, scroll to the end.

Age Range of Additional Participant

Pick-up Person (Required)

First and Last name of the adult who is picking up your child/children from Summer Bash. For the safety of all persons, identification may be required.

Solve 1 + 5 = ?

Brown Springs Church of God

6245 GA HWY 355
Box Springs GA 31801

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