Home Page
Bible College
About FLBC
Academics
Student Life
Admissions
Tuition & Aid
After FLBC
Seminary
About
Academics
Admissions
About Us
Mission
Our Beliefs
History
Faculty & Staff
Accreditation
Assessments
Campus & Location
Campus Library
News
Events
Calendar
Donate
Blogs
Videos
Students
Alumni
What We Do
Alumni Association
Referral Opportunity
Transcript Request
Alumni Testimonies
Alumni Job Opportunities
Capital Campaign
Student Life Center Webcam
Athletics
FLBC Athletics
Basketball Live Stream
Choirs
Gospel Teams
Summer Teams
Live
Chapel
Prayer Updates
Stories
Search for:
Home
Bible College
About FLBC
Academics
Student Life
Admissions
Tuition & Aid
After FLBC
Seminary
About FLS
Academics
Admissions
About Us
Mission and Objectives
Our Beliefs
History
Faculty & Staff
Accreditation
Assessments
Campus & Location
Library
Wedding Event Request
News
Events
Stories
Resources
Blogs
Videos
Campus Days Registration Form
Home
Campus Days Registration Form
Campus Days Registration Form
Registration form must be completed separately for each individual attending.
Name
*
First
Last
I Am Registering As:
*
$75 | Student
$75 | Adult
$0 | Youth Leader who will attend all weekend activities
Gender
*
Male
Female
Birth date
*
Date Format: MM slash DD slash YYYY
Grade
*
9
10
11
12
HS Graduate still considering FLBC
Chaperone/Parent
Address
*
Street Address
City
State / Province / Region
ZIP / Postal Code
Mobile Phone
*
Home Phone
Email
*
T-shirt Size
*
Adult XS
Adult S
Adult M
Adult L
Adult XL
Adult XXL
Those who attend Campus Days will receive a free FLBC T-shirt.
Housing
Guests are asked to secure their own housing arrangements.
Mayny guests have booked rooms at the Hilton Garden Inn in Maple Grove, MN.
Reservations can be made via phone (763-509-9500 and mention "Free Lutheran Bible College").
One adult chaperone is required for every ten minors at the motel.
The rooms have two queen beds and can accommodate four people.
Transportation to and from the motel is the responsibility of the Campus Days guests.
Church
*
Church Name, City, and State
Parent or Legal Guardian Emergency Contact Name
*
Parent or Legal Guardian Emergency Contact Mobile Phone
*
Insurance Company/Health-Sharing Ministry
*
Plan/Policy Number
*
Family Physician
First
Last
Physician Phone
Medical Release Form
- To be filled out by parent if attendee is under 18 years of age, or by attendee if over 18.
Instructions:
Read while filling in all required information and give full initials for each entry. Each field requires a response. Any documents with incomplete or incorrect initials, parent/guardian name or dates will be considered void.
Activities:
Riding in a vehicle with staff driver or student driver to and from off campus activities.
General on campus recreation
Skate Night at Roller Garden
I consent to my child participating in the above named activities. In signing this assumption of risk, I certify that my child is able to participate in the activity or activities. If I am 18 or over, I am signing this assumption of risk.
Initials
*
I do not want my child to engage in the following activities:
Initials
*
Below are allergies or medical conditions that may be relevant to a physician in the event of an emergency:
Initials
*
I authorize FLBC staff or students who are in charge of any specific activity to make emergency medical decisions for my child in the event I cannot be reached. I will immediately notify the person in charge of any activity of any change in the information presented here. I agree that this Assumption of Risk shall be valid until I revoke it. I have signed this Assumption of Risk both in my own capacity as a parent/guardian of my child and in a representative capacity on behalf of my minor child. I represent and warrant to FLBC that I have completed this Assumption of Risk form for my child to participate in this activity; that it is complete and correct in all its information; that I have inserted my initials beside each completed item; and that I have dated the form and typed my name below to represent to FLBC my intent to be fully bound in accordance with its terms.
Signatures
Full Name of Parent/Legal Guardian (or student if over 18)
*
Date
*
Date Format: MM slash DD slash YYYY
Payment Method
*
Pay online
Online payment is required at the time of registration. Students and adults will be redirected to a secure online payment portal after submitting their registration.
You will receive a confirmation email when your Campus Days registration has been successfully submitted. If you do not receive a confirmation email, please notify admissions@flbc.edu.
Email
This field is for validation purposes and should be left unchanged.