Saturday Morning

Student Information

First Name

Last Name

Birthdate

Gender

Email Address

Cell Phone

Does Bethel University have permission to occasionally text this number?

Yes

Mailing Address

Country

Street

City

Region

Postal Code

Academic Information

High School Name

Anticipated college start term

Academic Interest for college

Check any of the listed interests that you would like to learn more about.

Art

Music - Instrumental

Music - Vocal

Theatre

Which do you consider yourself?
~First-Time Freshman: When you go to college, it will be the first time
~Transfer: Has attended college post high school

First-Time Freshman

Transfer

Current College Name

Level of college

Anticipated graduation / leave date (estimations are fine if you don't know the specific date)

Parent/Guardian Information

Parent/Guardian First Name

Parent/Guardian Last Name

Parent/Guardian Email

Parent/Guardian Phone

Overnight Waiver / Consent

LIABILITY WAIVER

I give my child/dependent permission to participate in an overnight stay at Bethel University. I understand the possible risks associated with such an event, including transportation to and from campus, to which my child/dependent may be exposed. I agree to assume all responsibilities surrounding my child/dependent's participation in this visit. I release Bethel University and its employees against any and all claims, demands and actions which may result from damage to property or personal injury due to my child/dependent's participation in this overnight stay, beyond the control of, and without the fault or negligence of Bethel University or its employees.

MEDICAL CONSENT

I hereby consent for my child/dependent to be given medical treatment as may be deemed necessary by a physician in the event of injury, accident, or unexpected illness. I understand that Bethel University will not be held responsible for any financial obligation incurred related to medical treatment. I understand that an attempt shall be made to contact in such an event.

Please choose how you would like to spend the night.

I plan to spend the night and would you to choose a Bethel Student to host me.

I am making my own arrangements to spend the night with a current Bethel student.

Do you prefer to stay overnight:

Before the visit

After the visit

Please list any current allergies/medical conditions that we should be aware of:

Emergency Phone

In place of your signature, please type your first and last name (parent)