GO For A Weekend

GO For A Weekend Registration

* Students under 18 must include a parents signature at bottom.


Full Name *
Date of Birth *
Class Grade *
Gender *
Email Address *
Phone Number *
Church *
Pastor's Name *
Pastor's Phone # *
Have you ever attended GOFAW? *
Do you have any physical or medical limitations? *
Visitor’s Guidelines: - Guys and girls cannot be alone OR in each other’s dorms. - No innapropriate sexual behavior. - Do not listen to secular music or watch movies. - No drug, cigarette, or alcohol use. - No pornographic movies or images. - No abuse of buildings or school property. - No foul language. - Do not leave campus without permission. - Leave common areas 30 min before curfew & stay in dorms until breakfast. - Attend all scheduled events. (see GOFAW schedule) - Respect all Blue Ridge Bible College staff and leadership. **NOTICE: By submitting this registration formyou affirm that the above information on your form is correct and agree to the following terms and conditions: I AGREE TO hold harmless Blue Ridge Chapel, Inc., Blue Ridge Bible College and/or its subsidiary ministries and leaders for any damages, losses or injuries that I may incur as a result of my participation on campus activities or field trips. I agree to follow all rules and regulations expected of me both written and verbal. I acknowledge that I have read the GOFAW guidelines and agree to conduct myself in a way that brings honor to the name of Jesus, myself, the college and my home church both on and off campus while I am serving as a volunteer. I will not allow myself or encourage others to become involved in any activities during my visit that would be a breach of the visitor guidelines or put myself and/or others in harm's way. I agree to arrive on-time and participate fully in all camp activities with a cheerful attitude. I understand that any breach of these terms and conditions can result in my immediate dismissal from GO For A Weekend.
I agree *
IF UNDER 18, parent or legal guardian's name is required.
Parents name *
Parent's contact info *
(Please fill out this Medical Information)
Insurance Provider *
Policy Number *
Emergency Contact Name? *
Emergency Contact Number? *
Do you have any known allergies? *
Do you have any special diet requirements or food allergies? *
Do you have any allergies to common pain medications? *
Will you require taking any prescription medication during your visit? *
List any prescription medication taken during your visit and dosage. *
MEDICAL WAIVER: I grant permission to Blue Ridge Bible College to administer general first aid treatment to myself for any minor injuries and illnesses. I also grant BRBC, in the case of servere illness or injury, to summon any and all professional emergency personel to attend, transport, and administer medical diagnosis, treatment or hospitalization to myself if deemed necessary by a medical professional. I am also aware that any medical expenses are of my own responibility and do not hold Blue Ridge Chapel, inc. or its subsidiary ministries, employees, or volunteers responsible for medical expenses I may incur.
I agree to the Medical Waiver. *
IF UNDER 18, parent or legal guardian's name is required.
Parents name *
Parents contact info *

Blue Ridge Bible College - phone: (540) 483-7977 - email: info@blueridgebiblecollege.org