California Fall Preview

Warrior Preview Registration

Join us as host 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

Student

Parent

Youth Leader

Church Leader

Gender

Female

Male

Do you plan do stay on campus?

If you have someone specific who you would like to stay with, please list their name here:

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

Will you be bring students with you?

Yes

No

Please be sure to register each student for Preview or call our office for additional assistance 909.706.3012

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

If a current student invited you to Fall Preview, please list the student below:

Do you have an additional comments, questions or allergies?

Academic Information

Student Type

Program

Anticipated Entry Term

Major of Interest

Friday Evening Events

There will be carnival games, a Ferris wheel, food trucks, a petting zoo, a costume contest, live music, and more!

Will you be attending Fall Fest?

How many guests will be joining you?

LPU Volleyball vs. Menlo College

Will you be attending the Volleyball game?

How many guests will be joining you?

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)

California Fall Preview

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