Offered On-Campus Offered Online MBU VISITOR INFORMATION Visitor Information Prospective Student Name* First Last Gender* Male Female Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Student Cell Phone*Parent Cell Phone*Emergency ContactStudent Email* Parent 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) Pick-Up/Drop-Off Location Westwood Baptist Church, Poplar Bluff, MO Second Baptist Church, Festus, MO Maryville Christian SChool, Maryville, IL Mr. Fuel Travel Center, Litchfield, IL Monical's Pizza, Morton, IL Road Trip Confirmation* I understand that I will be picked up by the bus at my selected location. If you will be picked up by the bus, please select the option above. If you are not coming on the bus, please select "Experience MBU Weekend" instead of "Destination MBU Road Trip". Arrival Date* MM slash DD slash YYYY Check-In Time* : Hours Minutes AM PM Departure Date* MM slash DD slash YYYY Check-Out Time* : Hours Minutes AM PM School Name Year in School Major/Minor of Interest Co-Curricular Interests Intercollegiate sports Intramural sports Drama Choir/Ensemble Band/Orchestra Other Which sports do you play? What instrument(s) do you play? Housing Needed for Visit? Dorm Housing Guest Suites - Sponsors/Parents Both Dorm and Guest Suite No housing needed Dorm stay- 2 nights only. Guest Suites have limited availability. Call 920-206-2370 to make a reservation. Roommate RequestDo you know of an MBU student you would like to room with? SponsorParents/Guardian/Church Leader First Last Additional Comments?Please let us know if you have any questions, comments, or concerns, including dietary restrictions or special accommodations. You can also call Guest Relations at 920-206-2370.Total $0.00 NOTE: After clicking submit, please wait as you are redirected to PayPal. If you are submitting registration for the Destination MBU Road Trip, please click the link in the confirmation email to fill out the required waivers. Δ
