D-Now 2025

Please fill out this form and click submit.

D-Now (Hosted by Clearfork Baptist Church) is coming up quick and you don't want to miss it! The dates will be February 7th-9th! Please fill out the information below to sign up!

Student & Parent/Guardian Information Form

Student Name

Student Gender

Please select one option.

Male Female

Student Grade

Please select one option.

6th 7th 8th 9th 10th 11th 12th

Student Shirt Size

Please select one option.

YL XS Small Medium Large XL 2XL

Parent/Guardian Name

Parent/Guardian Email

This address will receive a confirmation email

Parent/Guardian Phone

Parent/Guardian Address

Parent/Guardian Relation to Student

Please select one option.

Mother Father Grandparent Other

Parent/Guardian Signature

Medical Release Form

The following questions will allow for us to gather medical information on your student. Please fill in the approprite blanks and answer the questions required.

Does your student have any allergies? (If Yes, give a detailed list. If No, respond with

In case of an emergency involving your student, do we have permission to make medical decisions on you behalf in the event that you cannot be contacted in a timely manner or at all?

Please select one option.

Yes No

Parent/Guardian Signature

Behavioral and Disciplinary Conduct Form

We want D-Now to be a fun and important time for everyone. We want everyone to be able to have a blast and also hear from God and understand what he is trying to speak to each and every one of the students that attend. That being said, there will be behavioral guidelines and rules set in place. Please make sure to abide and listen to any rules or guidelines that are asked or required of you. This is for the saftey of all staff, volunteers, and students involved in D-Now.

Parent/Guardian and Student have read and both agree to follow and abide by the form above?

Please select one option.

I Agree

Parent/Guardian Signature

Student Signature

If you have any further questions, feel free to contact either of the numbers provided below.

Saxon Jones: 325-201-0002

Kaylee Jones: 325-261-1126

Payment

A fee is required to sign up your student for D-Now

Pay Later ($0) Pay Now ($25)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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D-Now 2025

Description

Please Fix the Following