SIBS REGISTRATION | Alderson-Broaddus College

Welcome to the online registration form for Sibs and Kids weekend, February 22-24, 2013.

$10 registration fee is due for all guests. Fee includes all events unless otherwise noted and a souvenir tee. Please pre-register by February 8th to guarantee your size is available.

STUDENT INFORMATION

Student/Staff Name: *

Telephone number: *

Campus box: *

If on campus, student residence hall room/suite:

GUEST INFORMATION

Guest Name: *

Guest Age: *

Relationship to student:

EMERGENCY CONTACT INFO

Name: *

Relationship to guest: *

Telephone number: *

Alternate telephone number: *

Additional guests

Additional guests may be registered by visiting the office of Student Affairs, ground floor, Hamer Student Center.

Notice: *

I agree

By submitting this form, I understand that guests are my responsibility, and all guests are to adhere to the policies and code of conduct of Alderson-Broaddus College.

Media Usage: *

I agree

I authorize audio, video, and still photographs to be recorded of my minor child(ren) and made available for free download from the A-B website, and/or to be used for any other purpose in connection with Sibs and Kids.