Web Registration


This web form is for individual registration.
If you would like to register a group, please email our Admissions Department.
Please include total number of each gender, as well as information requested below.
You may also call 1-800-TRY-KMBC x 130

Student lodging is provided in the dormitories. Adult lodging is available on a first-come, first-served basis. You will be notified if our lodging is full.


 

Full Name: Phone Number:
Street Address:
City, State, Zip: , -
E-Mail:
Year of High School Graduation:   Birth Date:

Estimated day and time of
arrival on campus:

Number of adults needing lodging: