Disciple Now 2018
March 9-11, 2018
Early Bird Rate: $55 (through March 4th)
Regular Rate: $75
You must complete each required question. You must submit one form for each of your students.
First and Last Name
Street Address (2111 Walter Ave. Apt. #2)
Student Cell Phone #
List any special medical needs your child may have (Food Allergies, Medications, etc...)
We ask that you give us the information so that we may contact you in the case of an emergency.
Parent/Guardian First and Last Name
Parent/Guardian E-mail address
Parent/Guardian Home Phone Number
Parent/Guardian Cell Phone Number
I have completed a medical release form for my child
No (Please come to the Student Welcome Desk to fill one out)
Please choose one of the following payment options. (Please make all checks payable to Sherwood Baptist Church)
I am going to pay for DNow 2018 by
Permission to Attend this Event
I give my student permission to attend Disciple Now 2018 at Sherwood Baptist Church. By signing this form, I agree to hold harmless Sherwood Baptist Church and the adult sponsors from any and all liability, claims, or demands for personal injury, as well as damage and expenses of any nature that occur while my student is participating in this event. I give permission for my student to receive medical attention, if required. (Parents will be contacted in case of an emergency.)
Yes, I give my child permission to participate in this event.
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