Warrior Welcome

Student Information

First Name

Preferred Name (if different from above)

Last Name

Birthdate

Email

Phone Number

Can we text this number?

Yes

No

Guest Information

Emergency Contact Information

Emergency Contact

Emergency Contact First Name

Emergency Contact Last Name

Emergency Contact Email Address

Emergency Contact Phone Number

Can we text this number?

Yes

No

Emergency Contact Relationship

How is this person related to you?

Guest #1 Information

Guest #1 First Name

Guest #1 Last Name

How is this person connected to you?

Guest #1 Email

Guest #1 Phone Number

Can we text this number?

Yes

No

Guest #2 Information

Guest #2 First Name

Guest #2 Last Name

How is this person connected to you?

Guest #2 Email

Guest #2 Phone Number

Can we text this number?

Yes

No

Guest #3 Information

Guest #3 First Name

Guest #3 Last Name

How is this person connected to you?

Guest #3 Email

Guest #3 Phone Number

Can we text this number?

Yes

No

Guest #4 Information

Guest #4 First Name

Guest #4 Last Name

How is this person connected to you?

Guest #4 Email

Guest #4 Phone Number

Can we text this number?

Yes

No

Guest #5 Information

Guest #5 First Name

Guest #5 Last Name

How is this person connected to you?

Guest #5 Email

Guest #5 Phone Number

Can we text this number?

Yes

No

Guest #6 Information

Guest #6 First Name

Guest #6 Last Name

How is this person connected to you?

Guest #6 Email

Guest #6 Phone Number

Can we text this number?

Yes

No

Allergy Information

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

Yes

No

Please tell us more:

Agreements

As a participant (or parent/legal guardian of this participant) of this event at 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.