Please fill out this form to register for Northpoint Experience. Once complete, an Enrollment Specialist will contact you.

Admission *

Weekend Admission

Thursday Night Only

Friday Night Only

Full Name *

Cell Phone *

Email *

Date of birth *

Address *

City *

State *

Postal code *

Gender *

Male

Female

Church Name *

Church City & State *

Northpoint Experience Liability Waiver

I authorize Northpoint Bible College to provide or secure emergency medical treatment as required for myself, while attending Northpoint Experience at Northpoint Bible College. I have included medical insurance information. Further, I hereby do waive, release, and forever discharge Northpoint Bible College and it officers, agents, employees, representatives, executors, and all others from any and all responsibilities or liability from injuries or damages resulting from my participation in any activities while attending Campus Experience at Northpoint Bible College. Should i leave the Northpoint Bible College campus, I assume responsibility for myself and agree to not hold Northpoint Bible College responsible for any harm that may befall me if I leave the Northpoint Bible College campus.

Emergency Contact Name *

Emergency Contact Number *

Signature

Clear