Summer Corban Friday

Summer Corban Friday Registration Form

Personal Information

First Name

Last Name

Preferred Name

Birthdate

Email Address

Would you like to receive text messages from us?

Yes

No

Phone Number

Mobile Number

Mailing Address

Country

Street

City

Region

Postal Code

I have a friend who is also registering for this event

Yes

No

What is your friend's name?

School Information

Which high school do you attend? (If you are homeschooled choose "*Home School")

High School Graduation Year

What semester are you hoping to start at Corban?

Major

Have you taken any college credits AFTER graduating from high school?

No

Yes

Which sport?

Guest Information

How many guests will you be bringing?

0

1

2

Guest First Name

Guest Last Name

Guest Email

How is this person connected to you?

Guest First Name

Guest Last Name

Guest Email

How is this person connected to you?

Since you are not attending with a parent or legal guardian, please provide an emergency contact for the event.

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Phone Number

Emergency Contact Email

Emergency Contact Relationship to You

Please tell us more:

Do you or your guests have any food allergies we should be aware of?

Yes

No

Please tell us more about the allergy:

Agreements

As a visitor (or parent/legal guardian of this visitor) to Corban University, I acknowledge that there are certain dangers inherent in any activity and that bodily injury could occur while on campus. I agree that I will hold Corban University, its staff, and representatives free from any and all liability for any and all accidents or injuries occurring to the participant(s) as a result of participation in this event, and hereby release Corban University, staff, and representatives from any and all such liability.

I agree

All aspects of this event may be photographed or video recorded. By registering, you are agreeing that any and all photographs or video may be used by Corban University for future marketing purposes.