rule DISCIPLE NOW 2012 rule

What:    DISCIPLE NOW 2012
Date:      March 2-4
Who:      Students grades 6-12
Where:  Homes in the PBC Community
Cost:       $40

First Name
Last Name
Email Address
Phone Number (Format: 999-999-9999)
Address
City
State
Zip
Student Cell Phone
Permission to Text
School
Current Grade
Birthday
Gender
T-Shirt Size (adult)
One friend to be with
I Attend Church....Where?
Parent First Name
Parent Last Name
Parent Cell Phone
Permission to Text
Please answer the simple math question below to submit the form.
2 + 2 =