DNow 2025
January 31st-February 2nd, 2025 | To register for DNow 2025, please complete this form and click submit.
Parent/Guardian Name
*
Parent/Guardian Email
*
This address will receive a confirmation email
Parent/Guardian Phone Number
*
Address
*
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Student 1 Information
Student 1 Name
*
Student Phone Number
*
Gender
*
Please select one option.
Male
Female
Select Option
Male
Female
Current Grade
*
Please select one option.
6th
7th
8th
9th
10th
11th
12th
Select Option
6th
7th
8th
9th
10th
11th
12th
T-Shirt Size
*
Please select one option.
S
M
L
XL
2XL
Select Option
S
M
L
XL
2XL
Special Concerns or Medical Conditions (i.e. allergies, asthma, diet needs, or other concerns)
May your student have over the counter medication if needed? (i.e. Ibuprofen, Tylenol, Tums, Benadryl)
*
Please select one option.
Yes
No
Student 2 Information
Student 2 Name
Student Phone Number
Gender
Please select one option.
Male
Female
Select Option
Male
Female
Current Grade
Please select one option.
6th
7th
8th
9th
10th
11th
12th
Select Option
6th
7th
8th
9th
10th
11th
12th
T-Shirt Size
Please select one option.
S
M
L
XL
2XL
Select Option
S
M
L
XL
2XL
Special Concerns or Medical Conditions (i.e. allergies, asthma, diet needs, or other concerns)
May your student have over the counter medication if needed? (i.e. Ibuprofen, Tylenol, Tums, Benadryl)
Student 3 Information
Student 3 Name
Student Phone Number
Gender
Please select one option.
Male
Female
Select Option
Male
Female
Current Grade
Please select one option.
6th
7th
8th
9th
10th
11th
12th
Select Option
6th
7th
8th
9th
10th
11th
12th
T-Shirt Size
Please select one option.
S
M
L
XL
2XL
Select Option
S
M
L
XL
2XL
Special Concerns or Medical Conditions (i.e. allergies, asthma, diet needs, or other concerns)
May your student have over the counter medication if needed? (i.e. Ibuprofen, Tylenol, Tums, Benadryl)
Payment
Fees for 1 Student ($45.00)
Fees for 2 Students from Same Household ($80.00)
Fees for 3 or More Students from Same Household ($115.00)
Scholarship Needed ($0)
Fees for 1 Student ($45.00)
Fees for 2 Students from Same Household ($80.00)
Fees for 3 or More Students from Same Household ($115.00)
Scholarship Needed ($0)
Amount
Credit/Debit Card Number
Expiration Date/CVC
Name on Card
Card Billing Address
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Submit
Description
January 31st-February 2nd, 2025
To register for DNow 2025, please complete this form and click submit.
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