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)*
3. Shirt Size*
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)
8. Shirt Size
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)
13. Shirt Size
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:

 

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.  

 

 

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