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DNOW 2022 REGISTRATION
Event Timing: January 28-30, 2022
Registration Fee: $30 (payable in person or on
ruskfbc.com/giving
[Make sure to add a note that it's for DNOW])
Event Address: 372 E 4th, Rusk, TX 75785
Contact us at (903)683-5494
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Email
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Your email
What church will you be attending with?
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Rusk FBC
Grace Fellowship Church
Eastside Baptist Church
Student Name
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Student Phone Number
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Your answer
Student Address
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Your answer
Student Gender
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Male
Female
Grade
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7th
8th
9th
10th
11th
12th
Parent/Guardian Name
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Your answer
Parent/Guardian Phone Number
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Your answer
Parent/Guardian Address (If different from student)
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Your answer
T-shirt size
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Small
Medium
Large
XL
XXL
Will students be bringing medication with them?
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No
If the student is bringing medication, please list the medication and times the medication will need to be taken
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Will the student need to spend time away from DNOW?
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No
If student needs to spend time away from DNOW. Please state when they will be gone, when they will return, and who is authorized to pick up the student (students 16 and older may drive themselves; students 18 and older may drive another student with parent permission)
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By giving my digital signature (initials), I certify that I am the guardian of the minor attending or am a student 18 and older. Furthermore, I guarantee my (my student's) attendance AT DNOW 2022 FBC Rusk and will submit to the authority of FBC Rusk to minister and attend to the needs of my student.
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