Register

Don't want to register online? Download the printable registration form (PDF).

If you do not receive a confirmation e-mail from the ADP office within 3 days, please contact Debby Camden at dcamden@mbc.edu.

Name:
Address:
City:
State:
Zip:
Phone (Home):
(Work / Cell):
MBC Student ID #:
MBC E-mail:
Program:
Advisor:

In addition, please register me for the Folk Dance course for .5 semester hour of PHE credit.

Check One: Residential Fee - $350 (Room, Board & Meals included)
Commuter Fee - $50 (Administrative Fee, Lunches & Snacks)

Please select method of payment:

Pay upon arrival
Check mailed to the ADP Central Office*
Charge my credit card. I have faxed or mailed my credit card information to the ADP Central Office* Please do not e-mail your credit card information.
Bill my MBC account (must have permission from the Business Office)

* Mary Baldwin College, ADP Central Office, Staunton, VA 24401, fax 540-887-7265

(Please remember that the above fees are in addition to course tuition and must be paid no later than Sunday, June 22, 2008.)

I am Male Female

Name of Preferred Roommate (if any):
Space is limited. Please understand that we cannot guarantee single rooms.

Dietary Restrictions (if any):