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2026 ACCEPTIONAL SPLASH REGISTRATION
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Church Request Form
Church Contact Person
*
Contact Email
*
Address
Contact Phone
*
Do you currently have a special needs ministry?
*
Yes
No
What needs have you identified that funding would be used for?
Training
Curriculum
Specialized Equipment
Staff
Additional Space Rental
Other
Do you have a family attending your church you hope to serve more effectively?
Yes
No
What age group is your greatest need?
0-18
18+
What best describes your congregation size?
0-100
100-200
200-300
300+
Is there anything else we should know?
Submit
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