2023 D-Now Registration Form

2023 Next Weekend

March 24th-26th
Where: First Baptist Church of George West

Price: Total Cost is $35 which includes 5 meals, a t-shirt, and devotional book

Due Date: Registration is due by March 15th

(late registration is available but will mean that a t shirt and book are not guaranteed. Although we will make every effort to ensure your student gets one please know that the extra t-shirts and book will be given out in the order in which students were registered.)
Registration Type*
What church are you coming with?*
Student Name*

First NameLast Name
Student Email*
example@example.com
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Student Phone Number*
Please enter a valid phone number.
Current Grade*
Gender*

MaleFemale
T-Shirt Size*

Adult SmallAdult MediumAdult LargeAdult X-LargeAdult 2X-LargeAdult 3X-Large
Allergies/Medical Conditions
Parent/Guardian Name*

First NameLast Name
Parent/Guardian Email*
example@example.com
Parent/Guardian Phone*
Please enter a valid phone number.
Please Read Liabilty Release Form Before Signing Below

By signing below you parent/legal guardian do hereby release, forever discharge and agree to hold harmless First Baptist Church George West, the staff and volunteers thereof from any and all liability, claims or demands for personal injury, sickness or death, as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the participant that occur while said participant is participating in the above described trip or activity.

Furthermore, you assume all risk or personal injury, sickness, death, damage, and expense as a result of participation in transportation, recreation and work activities involved therein.

Furthermore, authorization and permission is hereby given to said church to furnish any necessary transportation, food and lodging for the participant and to capture and post pictures and videos of your student to the church social media page.

The undersigned further hereby agrees to hold harmless and indemnify said church, its directors, employees and agents, for any liability sustained by said church as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.

You hereby grant our your permission for our your child to participate fully in said trip, and hereby give our your permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not in limitation to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any.

Further, should it be necessary for the participant to return home due to medical reasons, family emergencies, disciplinary action or otherwise, you hereby assume all transportation costs.
Parent (or student 18+) Signature*

Clear
You will be emailed with more information prior to the event. Payment can be made either in person or online at the page you are redirected to when you submit this form. Please designate $35 per student into the D-Now Fees fund when paying online. We look forward to seeing you soon!
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2023 Next Weekend