DNow 2019 Parent Release Form
DNow is an annual student discipleship weekend geared towards students in 6th-12th grade. The dates this year are February 1-3. The event is organized by the local student ministries of Grandview and hosted this year at Chambers Creek Baptist Church. Cost is $40 if signed up by Jan 23rd and $50 after or at the door. Send any questions to family@chamberscreek.org.
Email address *
Student First Name: *
Or Name Child Goes By
Your answer
Student Last Name: *
Your answer
Current Grade or Group: *
Gender: *
T-Shirt Size *
Special Concerns or Medical Conditions (i.e. allergies, asthma, diet needs, or other): *
Or "None" if not applicable
Your answer
Emergency Contact: *
(First and Last Name)
Your answer
Relation to Participant: *
i.e. Grandparent, Parent, Aunt, etc..
Your answer
Emergency Contact #: *
###-###-####
Your answer
Can your student have over the counter medication if needed (i.e. ibuprofen, tylenol, tums, benadryl, etc.) *
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