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FBC Hawkins D-Now 2022
February 18-20 at Timberline Camp, cost is $55 per student (scholarships available)
Deadline to register: February 9th
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* Indicates required question
Student's name
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Your answer
2021-22 Grade
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Your answer
Student's phone number
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Your answer
Student T-shirt size (Adult sizes)
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Choose
XS
S
M
L
XL
XXL
Any food allergies?
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Your answer
Parent/Guardian's name
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Your answer
Parent/Guardian's phone number
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Your answer
Parent/Guardian's email address
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Your answer
Other emergency contact (name and phone number)
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Your answer
Does the student agree to comply with the rules of conduct in the image below?
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Yes
No
Do you (parent/guardian) agree to the medical consent and liability waiver in the image below?
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Yes
No
Are there any medical issues regarding the student that church leadership needs to be aware of (particularly that might affect the student during physical activity such as asthma, a recent injury, etc.)?
Your answer
Are you requesting a full or partial scholarship to cover the cost of attending? If so, please explain
Your answer
While we hope nobody has to miss any part of D-Now, will the student need to arrive late or leave early? If so, please explain with estimated arrival/departure times.
Your answer
Thank you for filling this out! You now have two more steps: 1) go to this page to print and fill out the medical form for Timberline Camp:
https://static1.squarespace.com/static/536d2342e4b086819505d786/t/5384af52e4b05a01675226f7/1401204562938/TBC+Form+6+Medical+Release.pdf
2) turn in the medical form and $55 payment (cash or check) to Nathan or the church office
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