Church Group Visit Registration Form

Congregation/Group Name:
Contact Person:


Address
City : State: ZIP Code:
Phone Number: ( ) - -

Proposed Date(s) of visit
Arrival :
Departure :

Age of Students
Jr. High Freshman Sophomore Junior Senior
Number of Students: Number of Adults:

Please check the activities you would be interested in when visiting Luther.

Campus Tour
Admissions Presentation
Outreach Team
Special Campus Events (Athletic. Concert, etc.)
Worship (Daily Chapel, Sunday Worship, Focus, Eucharist)
Classroom/Group Time (retreat purposes)
Rec Time (Regents, Sand Volleyball, etc.)

After your form has been submitted, one of our visit coordinators will call you to confirm your visit.