DNOW | SecurityFirstBaptist

D-NOW WEEKEND Sign Up Form

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Student's First & Last Name

Please Print

Student's Birthday

Month

Day

Year

Student's Current Grade

Student's T Shirt Size

Student's Food Allergies (NA, IF NONE)

Parent/Guardian First & Last Name

Please Print

Parent/Guardian's Phone

D-NOW Catalyst Weekend Parent/Guardian/Student Agreement:

By signing below, I agree that my student will be under the guidance and leadership of personnel affiliated with and endorsed by Security First Baptist Church, Cleveland, TX. I aslo agree that my child must listen to and follow the rules established during D-NOW Weekend. A student's failure to follow D-NOW rules will result in early pickup from parent/legal guardian

Parent/Guardian Signature

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Electronic Signature

Student's Signature

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Electronic Signature

Date

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If you have any questions or

have a prayer request

please call/text me

at 936-444-5391

or click here to email me

Carter Coker, Youth Pastor

Looking forward to

seeing what God

does in our lives!