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2012 DNOW
* - Required Field
The Basics
Dear Parents,
Please register all guests separately. Parental information is required for all DNOW participants
First Name: (*)
Name Required
Last Name: (*)
Name Required
E-Mail Address: (*)
Valid email address needed.
Address (*)
Address Needed
City (*)
City Needed
State (*)
State Needed
Zip Code (*)
Zip code needed
Phone (*)
Phone needed
CellPhone
Invalid Input
A little more about you...
Parent(s) Name(s) (*)
Parents' Name Required
Parents(s) Phone (*)
Parents Phone Required
Date of Birth
Month (*)
1
2
3
4
5
6
7
8
9
10
11
12
Month Required
Day (*)
1
2
3
4
5
6
7
8
9
0
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
DOB day needed
Year (*)
1993
1994
1995
1996
1997
1998
1999
2000
2001
DOB Year required
Gender (*)
Male
Female
Gender Required
School
School Required
Church you Attend
Invalid Input
Grade
6
7
8
9
10
11
12
Invalid Input
Guest of:
Invalid Input
T-Shirt size (adult sizes only) (*)
S
M
L
XL
XXL
XXXL
T-shirt size required
Parent Help
DNOW cannot happen without the generous support of the members of FBC and the parents of our students.
Please select the area you can help support our DNOW students. (You may choose more than one)
Host Home
Co-Host (assist host by organizing group transporation & meals)
Prepare a meal or donate food toward a meal
Transportation
Administrative
T-shirt/Home Material prep (week of DNOW)
Assist with Wednesday night Kick-off @ The Bridge (March 7)
Sunday Luncheon Set-up/clean-up
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Payment
NOTE: Your registration is not complete until you make your payment to the Student Ministry office.
Please make check payable to:
FBCPTC
ATTN: DNOW - Student Ministry
208 Willowbend Rd
Peachtree City, GA 30269