SWAM Registration

Fee: $40 per child or $100 maximum per family
AFTER MAY 1 - $50 per child or $125 maximum per family

 Mail Registration Fee to:
St. James Lutheran Church - SWAM
800 Cincinnati Street
Lafayette, IN 47901

 

If you have any questions, please contact:
Mrs. Amanda Goodspeed
agoodspeed@stjameslaf.org
(765) 423-1616


 

SWAM Registration Form:

1.
*

Child's Name

2.
* Child's Grade (2016-2017)
1st
2nd
3rd
4th
5th
6th
7th
3.
*

Shirt Size

Youth Small   Youth Medium
Youth Large   Adult Small
Adult Medium   Adult Large
Adutl XL
4.
*

School Attending

5.
*

Medical Allergies

Answer questions #6-10 only if you are registering a second child.

6.

2nd Child's Name

7.
2nd Child's Grade (2016-2017)
1st
2nd
3rd
4th
5th
6th
7th
8.

Shirt Size

Youth Small   Adult Small
Youth Medium   Adult Medium
Youth Large   Adult Large
Adult X-Large
9.

School Attending

10.

Medical Allergies

Answer questions #11-15 only if you are registering a third child.

11.

3rd Child's Name

12.
3rd Child's Grade (2016-2017)
1st
2nd
3rd
4th
5th
6th
7th
13.

Shirt Size

Youth Small   Youth Medium
Youth Large   Adult Small
Adult Medium   Adult Large
Adult X-Large
14.

School Attending

15.

Medical Allergies

16.
*

Parent's First Name

17.
*

Parent's Last Name

18.
*

Address

19.
*

City

20.
*

State

21.
*

Zip

22.
*

Phone

23.
*

Email address

24.

I can volunteer to help with:

Sets   Costumes
Crew (Lighting/Sound)   Daily Supervision
Serving Snacks   Games

 

When you submit this registration, you will be redirected to our secure online payment service.  You will also receive a confirmation email with this link and mailing address if you choose to pay by cash or check.