Disciple Now 2018
March 9-11, 2018
Early Bird Rate: $55 (through March 4th)
Regular Rate: $75
Student Information
You must complete each required question. You must submit one form for each of your students.
Current Grade *
First and Last Name *
Your answer
Gender *
T-Shirts Size *
Street Address (2111 Walter Ave. Apt. #2) *
Your answer
City *
Your answer
Zip Code *
Your answer
Student Cell Phone #
Your answer
List any special medical needs your child may have (Food Allergies, Medications, etc...)
Your answer
Parent/Guardian Information
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 *
Your answer
Parent/Guardian E-mail address *
Your answer
Parent/Guardian Home Phone Number
Your answer
Parent/Guardian Cell Phone Number
Your answer
I have completed a medical release form for my child *
Payment Information
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.) *
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