a weekend not soon forgotten...

as students arrive, expectations (and nerves) are high...and so are the walls. Whether it comes from school, home, friends, or some other sphere of life, the burdens students carry today are heavy and plentiful. our goal for disciple now weekend is to break down walls through fellowship and discussion and build up disciples through fun and fellowship, meaningful worship, and service opportunities. join us for D-Now 2016.

highlights from 2015

midnight swim at ttu leisure pool
texas handicapped ramp service project
served at lubbock impact center
worship sessions with casey shock band
main session talks with whitney bell
small group discussions with host homes
free time shenanigans with friends

**D-Now 2016 speaker, JASON MENDOZA, pictured with his wife MICHELLE and their 1 yr old daughter, Annabelle Grace.**

coming in 2016...

Kick-off "Meet your leader" rally
- Wednesday, February 24th - 6:00-8:00pm
Jason Mendoza, Speaker
- Woodland Presbyterian Church - Memphis, TN
Austin Davidson Band, worship
new house groups, games, and fun!

JASON MENDOZA, 2016 SPEAKER

Jason Mendoza is from Lubbock Texas where he grew up, learned to drive a stick shift, and received a bachelor’s degree from Texas Tech University. He has been on staff at Woodland Presbyterian Church since September 2010. He met his wife Michelle here in Memphis, TN Salsa dancing downtown. They have a well behaved black lab named Winston. Jason enjoys playing disc golf, trail running, watching movies, and would like to be good at real golf. He really loves Texas. His passion for the youth is to see them become disciples for Christ and display His light in the dark places of the world.

register for d-now 2016

click on the buttons below to access online registration
or to download various disciple now forms

Disciple Now 2016 Registration

Student Name

First Name

Last Name

Student Age

Student Grade

Student T-Shirt Size

Adult Sizes Only

Student Phone Number

(If none, enter 000s)

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Name of Parent/Guardian #1

First Name

Last Name

Parent/Guardian #1 Phone

(###)

###

####

Name of Parent/Guardian #2 (OPTIONAL)

First Name

Last Name

Parent/Guardian #2 Phone (OPTIONAL)

(###)

###

####

Student Health Insurance Company

Student Health Insurance Group #

Student Health Insurance Policy/ID #

Student Health Insurance Phone #

(###)

###

####

Important Medical Information (Allergies, medications, etc.)

Student Participation Contract

The above mentioned student understands that this activity is going to be awesome. They will do everything they can do to make it more so. They will step out of their comfort zone. They will share when they don't feel like sharing. They will build others up. They will never tear others down. They will contribute and bring ideas to their group. They will always wear their seatbelt in the car. They will not judge others unfairly. They will never complain! They will read along in and keep up with their Bible. They will try to out serve everyone else on the trip. They won't do anything that will put themselves or others at serious risk. They will be more awesome when they go home than when they came.

Parent Permission Agreement

By selecting "AGREE" below, being the parent or legal guardian of the aforementioned minor child, I hereby give my permission for him/her to accompany the group and participate in DISCIPLE NOW 2016, hosted by Westminster Presbyterian Church and SURGE Student Ministries. I CERTIFY that I am cognizant of the inherent dangers associated with participating in DISCIPLE NOW and that certain aspects of the activity do entail an element of risk including bodily injury, dismemberment or death and of the fact that participating in the activity will take place both on/inside and off/outside WPC premises. I UNDERSTAND and agree that neither WPC, nor its trustees, representatives, instructors, employees, volunteers, or agents may be held liable in any way for any occurrence in connection with my child's participating in the activity which may result in injury, harm, or other damages to the participant, to me, or my family. AS PART of the consideration for being allowed to enroll and participate in the activity, I hereby personally assume all risks in connection to my child's participation in the activity. I further release WPC, its trustees, representatives, instructors, employees, volunteers, and agents from any injury or damage which may befall my child while my child is participating in the activity. I further agree to save and hold harmless WPC, its trustees, representatives, instructors, employees, volunteers, and agents from any claim by me, or my family, state, heirs, or assigns arising our of my child's enrollment and participation in the activity. I ALSO AUTHORIZE WPC to render or obtain such emergency medical care or treatment as may be necessary should any injury, harm, or accident occur to my child while participating in the activity. I further state that I am of lawful age and am legally competent to sign this affirmation and release; that I understand the terms herein are contractual and not mere recital; and that I have digitally signed this document by selecting "AGREE" on my own free act and volition. I FURTHER STATE and acknowledge that I have fully informed myself of the contents of this affirmation and release by reading it before I have digitally signed it.

Equipping Parents Brunch (optional event)

Please let us know if you'll be attending our parent brunch and seminar, led by speaker Jason Mendoza and Youth Director Matt Spitsberg. Select "No, will not be attending", "Yes, ONE parent attending", or "Yes, TWO parents attending". We hope you'll join us for a great and fulfilling morning.

Student Scholarships

Please select "YES" if you are interested in receiving additional information regarding available scholarships.

If student will miss part of d-now due to another activity, please fill out this form

D-Now 2016 Student Absence for Activity Form

Student Name

First Name

Last Name

Parent/Guardian Name

Name of Parent/Guardian that will be picking student up.

First Name

Last Name

Parent/Guardian Phone #

(###)

###

####

Pick-Up Time

Please indicate the time the student will be picked up.

Drop-off Time

Please indicate the time at which the student will be dropped off/returned to D-Now activities.

Disciple Now

a weekend not soon forgotten...

highlights from 2015

midnight swim at ttu leisure pool

texas handicapped ramp service project

served at lubbock impact center

worship sessions with casey shock band

main session talks with whitney bell

small group discussions with host homes

free time shenanigans with friends

coming in 2016...

Kick-off "Meet your leader" rally

Jason Mendoza, Speaker

Austin Davidson Band, worship

new house groups, games, and fun!

JASON MENDOZA, 2016 SPEAKER

register for d-now 2016

click on the buttons below to access online registrationor to download various disciple now forms

WPC's General Liability waiver

BODYWORKS GENERAL LIABILITY WAIVER

D-NOW 2016 PACKING LIST & SCHEDULE

If student will miss part of d-now due to another activity, please fill out this form

Westminster Presbyterian Church

click on the buttons below to access online registration
or to download various disciple now forms