DNOW 2026 Host Home Interest Form
Please fill out the following completely.
Husband/Wife Full Names
*
Are you members of Bethany Baptist Church?
*
Please select one option.
Yes
No
Unsure
How far away do you live from Bethany? (in minutes)
*
Children in your home (Age, grade, and gender or N/A if none)
*
Bethany Students?
*
Please select all that apply.
Yes
No
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
Email
*
This address will receive a confirmation email
Phone
*
Students assigned to your home will be grouped by gender. Which group would you prefer to host? This will help us with assignments, but will NOT guarantee you will be assigned your preferred group.
*
Please select all that apply.
Girls
Guys
No Preference
Do you have transportation for 4-6 teens and your family (you can use two vehicles if needed)?
*
Please select one option.
Yes
No
No, but if the Adult assigned to our home could drive we will.
Select Option
Yes
No
No, but if the Adult assigned to our home could drive we will.
Are you capable of providing 2 meals for the teens and the adult that you host? (Breakfast and Dinner on Saturday)
*
Please select one option.
Yes
No
Are both husband and wife willing to participate in the full weekend with their hosted teens?
*
Please select one option.
Yes
No
Both husband and wife will be required to undergo a background check, are you ok with this?
*
Please select one option.
Yes
No
Use this space to leave any questions, comments or notes regarding your application or the DNOW Weekend.
*
Submit
Description
Please fill out the following completely.
×
Please Fix the Following