Event Registration - www.kmbc.edu

Renewal Registration: Free

Type of Registration*
- Adult Individual Registration
- Youth Individual Registration
- Group Registration
How many in your group?
Approximate number is ok if you are not sure
Group Information*
If possible, please provide names and genders for those in your group. Please note who are adults and who are youth.
Group Contact Person Information
Name*
First Last
Email*
Phone
Address*
Street Address City State ZIP Code
Year of Graduation
For youth
Birthdate
MM slash DD slash YYYY
Estimated day and time of arrival on campus
Do you need lodging? - HOUSING IS FULL
Housing is very limited. If you would like to request housing, please explain the details of your request, including who needs housing and for what days. Hotel information is available on the event page.
Comments
Would you like to sign up for KMBC's newsletter, "The Silver Trumpet"?
The Silver Trumpet is mailed 3 times per year, and highlights news and upcoming events at KMBC
- Yes
- No
COVID-19 Understanding:

This event and activities are publicly attended, and could expose you to COVID-19. According to governmental health organizations, COVID-19 poses a risk to all people of mild to severe illness. Older people, those who live in any type of long-term care facility, or people of all ages with serious underlying medical conditions could be at higher risk of severe illness from COVID-19 and should maintain a safe distance from others at all times.

By visiting Kentucky Mountain Bible College, you voluntarily assume all risks related to exposure to COVID-19. Please follow all safety guidelines and help keep each other healthy.
COVID-19 Understanding*
- I have read, understood, and agree to the COVID-19 understanding.
Name
This field is for validation purposes and should be left unchanged.

Renewal Registration: Free

Group Contact Person Information

COVID-19 Understanding: