D-Now 2024

Participant Registration

D-Now 2024

If you or your child would like to participate in this event as a Participant, please complete the following form.

(If you are under 18, please have your parent or guardian complete the form.)

If you have previously registered with us for a prior event, you can search for your stored information instead of filling out the form below.

Personal Information

*Participant's Last Name:
*Participant's First Name:
*Preferred Name for Name Tag:
*Parent/Guardian Name:
*Current Grade: (6-12)
*Birthday: (MM/DD/YYYY)
*Gender:
*Address:
*City:
*State:
*Zip:
*Cell Phone: (555-555-5555)
*Email:
Are you a member of this church?	Yes
Do you attend Church?	Yes
If so, where?
*Allergies, Medical, & Special Needs: (Leave Blank if None)
*Emergency Contact Name (1):
*Emergency Contact Phone (1): (555-555-5555)
Comments:
*T-Shirt Size:
Permission, Medical Release & Release of Liability: (Permission, Medical Release & Release of Liability)	I give permission for him/her to attend D-Now with First Baptist Church Paducah. I also agree that FBCP and its staff and volunteers shall not be held liable in the event of an accident or injury. In addition I give permission for those individuals to render first aid as needed and to seek medical attention on my behalf. I assume all financial responsibility in such event and give permission to any medical facility to treat my child as needed. I also understand that group photos and pictures of the event may be posted on the church’s social media. I give permission for my child to be included in such posts.
Crossings Release Form: (Crossings Release Form)	https://waiver.smartwaiver.com/e/AFnLkEqV4CnPHt6fvtnJtk/