Preview Weekend Printable Registration Form

Print this form and mail along with check payment to:
Regent University
Attention: Preview Weekend
1000 Regent University Dr.
Virginia Beach, VA 23464-9800

Please make checks payable to Regent University.

First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Country:
Day Phone:
Evening Phone:
Email:
Mode of Transportation
How do you plan to travel to Preview Weekend?	car airplane ^* bus train ^*Flight information must be received by midnight on Nov. 8 in order to utilize the Founders Inn shuttle service.
For Rooming Purposes
Gender:	Male Female
Room Preference:	Single Occupancy ($75 Extra) Share
Your Age:	^* ^*Preview guests under the age of 18 must be accompanied by a parent or legal guardian
Will your spouse or parent(s) be attending Preview?	Yes ($180 per person) No
If "yes," please list names and relationship:
Please Select Amount of Payment
For Hampton Roads residents: $25 (Friday Meals and Conference Only for 1 Person)
$75 (Meals and Conference Only for 1 Person) $150 (Meals and Conference Only with Spouse or 1 Parent) $225 (Meals and Conference Only with 2 Parents or Guests) $180 (Meals, Conference and Lodging for 1 Person) $255 (Meals, Conference and Lodging with Single Occupancy Room) $360 (Meals, Conference and Lodging with Spouse or 1 Parent) $540 (Meals, Conference and Lodging with 2 Parents or Guests)
Are you a U.S. cititzen or permanent resident?	Yes No
If "no," what is your citizenship?
What is your military status?	Active Reserves Veteran Spouse or Dependent Child of Active Duty None of the Above
You are a:	Incoming Freshman - Undergraduate (15 or fewer college credits) Transfer Student - Undergraduate (16 or more college credits)
What area of study is your primary interest? (required)	Degree Options: Animation Cinema Television Theatre Arts
What area of study is your secondary interest? (optional)	Degree Options: Animation Cinema Television Theatre Arts
Preferred Enrollment Year:
How did you hear about Regent University?	Advertisement Internet CBN/700 Club Friend Other:
Comments: