Athlete Overnight Dec 2023

We are looking forward to you joining us!

Come back later for more details or register now and we will send those to you via upcoming emails.

This is a can't miss opportunity!

Hope to see you Dec 8th

Registration

Registration Options*

Student Athlete
Coach
InterVarsity Staff
Volunteer

Running Total

$0.00

Contact Information

Name*

Preferred First Name*

Email*

Confirm Email*

Yes, please send me updates and opportunities related to InterVarsity’s ministry.

Phone Number*

May we text you at this number for event related updates, onsite emergencies, etc.?*

Other Important info

Do you have any Medical Dietary Restrictions

Do you have any medical conditions we should be aware of? (Ex. Things you are allergic to)

Roommates: The number of roommates you have will vary, but we would like to help make it so you know at least one (or more) of your roommates. Please a list one or two roommate preference below. (Please note, we will do our best to honor your request, however there is no guarantee)

Please list one or two people you would like to room with (we will do our best to honor requests).

Mailing Address

Address*

Emergency Contact Information

Emergency Contact Name*

Emergency Contact Relationship*

Emergency Contact Phone*

Medical Insurance: Are you covered by a Medical Insurance policy?*

Demographics

Date of Birth*

Gender*

Male
Female
Prefer Not To Identify

Ethnic Identification (check all that apply):*

Black/African
East Asian
Hispanic/Latino
Middle Eastern
Native American/Alaska Native/First Nations
Native Hawaiian/Polynesian/Melanesian/Micronesian
South Asian
Southeast Asian (Including Filipino)
White/Caucasian
Bi-Racial/Multi-Racial (Include any counted in the other ethnic categories)
International
Prefer Not To Identify

InterVarsity Campus & Chapter*

Individual Release/Waiver

Individual Release/Waiver | Version 10.22.2020*

I have read and agree to the terms above.

Should the PDF not display properly, you may download a copy of the Individual Release-Waiver_10.22.2020.pdf

Running Total

$0.00

Discount/Scholarship Codes

Code #1

Code #2

Code #3

Total

$0.00

Billing Information

Name*

Use a previously saved card

Credit Card*

Visa
Mastercard
Discover

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Address*

Email*

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