MBU VISITOR INFORMATION

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Mobile Phone*
Home Phone
Email*
Are you attending as part of a specific MBU-hosted event?*
- Destination MBU Road Trip
- Experience MBU Weekend
- No Specific Event
- Other (Please specify)
Arrival Date*
Date Format: MM slash DD slash YYYY
Check-In Time*

: HH

MM
Departure Date*
Date Format: MM slash DD slash YYYY
Check-Out Time*

: HH

MM
School Name
Year in School
Major/Minor of Interest
Co-Curricular Interestes
(list specific sports, musical groups, drama, etc.)
Housing Needed
- Dorm Housing
- Guest Suite Housing
Sponsor
First Last
Total
$0.00
NOTE: After clicking submit, please wait for the confirmation message. If you are submitting registration for the Destination MBU Road Trip, please click the link in the message to fill out the required waivers.