United Youth DNOW

Friday, February 6-Saturday February 7 | Complete this form to register for The United youth DNOW in February 6-7, 2026

Attendee Information

Name

*

Grade Level

*

Please select one option.

6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade

Phone

*

Address

*

T-shirt Size

*

Please select one option.

Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult X-Large Adult XX-Large Adult XXX-Large

Church Affiliation

*

Please select one option.

Calvary Cornerstone Westside Kingdom Culture Trinity House of Praise Faith Evangel Other

Will your child be staying the night at Westside or going home and coming back in the morning?

*

Please select one option.

Staying at Westside Going Home

Parent/Legal Guardian Information

Parent/Legal Guardian First Name

*

Parent/Legal Guardian Last Name

*

Phone

*

Email

*

This address will receive a confirmation email

Payment

Registration Fee (includes t-shirt)

Pay Now ($10) Pay At the Door ($0)

Amount

Medical Information

Please input any and all medications your child takes on a daily basis so that we may be informed in case anything happens while under our care.

Do you give the leadership of this event the authority to give your child over the counter medicine in an as needed basis? Such as ibuprofen, Tylenol, etc

*

Please select one option.

Yes No

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

Friday, February 6-Saturday February 7

Complete this form to register for The United youth DNOW in February 6-7, 2026

Please Fix the Following

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