LPUVA FALL PREVIEW - Virginia Fall 2024

Friday, November 1, 2024 at 4:00 PM until Saturday, November 2, 2024 at 12:00 PMEastern Daylight Time UTC -04:00

Life Pacific University - Virginia
900 Life Dr
Christiansbrg, VA 24073
United States

Warrior Preview Registration

Join us as we host our Warrior Preview Event! Warrior Preview is our largest visit event and is designed for prospective students to experience the momentum at Life Pacific University.

You will also be acknowledging the Release of Liability Form in addition to the Release Authorization.

Please Read

Personal Information

First Name

Last Name

Birthdate

Email Address

Mobile Phone

Mailing Address

Country

Street

City

Region

Postal Code

Please select your ticket type below

Gender

Are you visiting us from a church? If so, what is the name of your church?

How many people will be in attendance? (including yourself)

Additional Comments/Questions

Academic Information

Student Type

Anticipated Entry Term

Major of Interest

Release Authorization

I understand that my picture, voice and/or written or photographic material will be recorded electronically and/or photographically by Life Pacific University. I hereby grant permission to Life Pacific University to use these photographs, videos or audio recordings of me on campus, in class, or at my home or business for its own use and distribution. The photographs, tapes and recordings will be owned by the University and may be used in promotional areas, including the LPU Web site, which Life Pacific may elect to show more than one time, without the payment to me of any compensation. I represent and warrant that I have notified Life Pacific University of any copyrighted material used by me in the photographs or videos, including providing Life Pacific University the name and address of the copyright holder.

I hereby agree to the above statement

Yes

Signature (Please type your full name)

LPUVA FALL PREVIEW - Virginia Fall 2024

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