Breakaway Registration 2018

Twenty-four hours in the life of an MVNU student. Attend class, worship in chapel, stay in the dorms. For fall 2018 applied and accepted students only.

Breakaway is for students who have applied or been accepted. The cost is just $35.

If you have questions about the event please call 1.866.462.6868, option #8.

First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Cell Phone Number *
Your answer
Email Address *
Your answer
T-Shirt Size
Are there any current MVNU Freshman you would prefer to room with? If yes, who?
Your answer
Parent Cell Phone # *
Your answer
Parent Email Address *
Your answer
Visit Code
Your answer
Pay the Registration Fee via Eventbrite
Before submitting this form, you will need to pay the $35 registration fee to complete your registration. Link to site will be posted beginning of 2018
Did you pay the $35 registration fee via Eventbrite?
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms