2025 D-Now Registration | Feb 28-March 2, 2025

Parent/Guardian Information

This address will receive a confirmation email

Full Name

Cell Phone

Address

Student Information

Student Full Name

Current Grade

T-Shirt Size (all sizes are adult)

XS S M L XL 2XL 3XL

Are You a Guest?

Are you a guest?

If you are a guest, who invited you?

Medical

Any allergies/Medical Conditions that leaders should be aware of?

Yes No

Please specify allergies/medical conditions. If none, please write NA.

Any medications needed for Student, please specify dosage and instructions. | If none, please write NA.

In case of emergency, please contact.

Relationship to Student

Emergency Contact Phone

Acknowlegements and Permissions

Sterling Wood Church and RISE Youth Ministry will abide by CDC guidelines for group gatherings whenever possible. However, despite our best efforts, this event could be high-risk for COVID exposure to your student. By checking the box below, you acknowledge that you understand the risk of COVID transmission and will allow your student to participate.

I, acknowledge.

I give permission for my child/student to be transported to and from the DNow activities.

Yes No

I give permission for my student to be photographed during the event, for my student's image to appear on SWC social media sites.

As the parent or legal guardian of the student listed on this form, I give my child permission to participate in Disciple Now Weekend 2025 with Sterling Wood Church. I give the staff and adult leaders full permission to act in such a way to ensure the safety of my child, whether in disciplinary form or in response to a medical situation. I hereby agree to release and discharge Sterling Wood Church and RISE Youth Ministry on behalf of myself and my child, acknowledging that their participation in this event entails known and unknown risks which could result in injury or need for medical attention.

I, agree. I, disagree.

Payment

Remember Deposits hold a student's spot. The Final Payment is due on or before March 2.

Payment $40 registration fee. Please consider adding $2.00 cover bank fees so that your registration cost can go completely to the event. Thanks. :)

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2025 D-Now Registration | Feb 28-March 2, 2025

Description

Please Fix the Following