MBU GROUP VISITOR INFORMATION

Church/School/Family Visitor Registration

Group Name: Church/School/Family*
Phone*
Email*
Please choose one:*
- Experience MBU: March 28-30
- Experience MBU: April 11-13
- No Specific Event
Arrival Date*
MM slash DD slash YYYY
Estimated Time of Arrival

: Hours

Minutes
Departure Date*
MM slash DD slash YYYY
Estimated Time of Departure

: Hours

Minutes
Address
Street Address City State / Province / Region
Prospective Students
First Name Last Name Gender Grade Email Phone Number Program Interest Extra-curricular
Sponsors
Name Email Phone Number Housing
Notes:
Please provide any additional pertinent information.

First Name	Last Name	Gender	Grade	Email	Phone Number	Program Interest	Extra-curricular

Name	Email	Phone Number	Housing