BROOKLAND BAPTIST CHURCH

The Church that Glorifies God and Edifies Humanity

COLLEGE MINISTRY
Brookland Baptist College Ministry
COLLEGE DAY 2014
SUNDAY, SEPTEMBER 21, 2014
(8:15 & 11:00A.M. WORSHIP SERVICES)

INDIVIDUAL COLLEGE STUDENT REGISTRATION FORM
(PLEASE PRINT)

CONTACT INFORMATION
Last Name:______________________
______________________
First Name: ______________________M.I.__


Address: Address 2: _________________________ ___________________________
City: ___________________________ State:_________ Zip Code: _________________


Telephone: ___ ___ ___ - ___ ___ ___ ___ ___ ___ ___ -


Email: ___________________________

Please place a
Traditional Student(Ages 17-24)-No Registration fee ________
or
Non-Traditional Student/Patrons-$20.00 registration(includes Commemorative T-Shirt)________
X

next to the College/University where you are currently enrolled:
___Allen Univ.
___Anderson Univ.
___Benedict College
___Charleston Southern Univ.
___The Citadel
___Claflin Univ.
___Clemson Univ.
___Coastal Carolina Univ.
___Coker College
___College of Charleston
___Columbia College
___Columbia Int'l. Univ.
___Converse College
___Erskine College
___Francis Marion Univ.
___Furman Univ.
___Lander Univ.
___ Limestone College
___Medical Univ. of South Carolina
___ Morris College
___ Newberry College
___North Greenville Univ.
___Presbyterian College
___Sherman College of Chiropractic
___South Carolina State Univ.
___ Southern Wesleyan Univ.
___University of South Carolina -Aiken
___ University of South Carolina -Beaufort
___University of South Carolina-Columbia
___University of South -Upstate
___ Voorhees College
___ Winthrop Univ.
___ Wofford College
___ Other:_______________________________________
Please place a X
X
next to your current Classification:
___Freshman
___Sophomore
___Junior
___Senior
Please place a next to the selection below:
___ Other:________________________________
Will you need transportation to and from the College Day Worship Service?
(Subject upon request and availability)
Yes___ No___

Are you having complimentary dinner immediately following the College Day morning worship
service? (Dinner will be provided at no cost for students ages 17-24 years After Service )

Yes___ No___
ALL FORMS ARE DUE BY NO LATER THAN SUNDAY SEPTEMBER 14, 2014