Please fill out this form to register for Northpoint Experience. If you are staying for the weekend, then select Weekend Admission. If you plan on attending for a service, then choose which service you will attend.

Personal Information

Admission *

Weekend Admission

Thursday Night Service Only

Friday Night Service Only

Thursday and Friday Services Only

Full Name *

Phone *

Email *

Age *

Birthdate

Please note, if you are under the age of 18 you will need to fill out a Parental Release Form. We will send you a link for this.

Address *

City *

State *

Postal code *

Graduation Year *

Gender *

Male

Female

Emergency Contact Name *

Emergency Contact Number *

Church Information

In this section, please fill in your church's name and pastor/leader's name that is attending Experience with you.

Church Name *

Church City & State *

Pastor's Name *

Pastor's Cell *

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.

Signature

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