Name* First Last Email* Phone*Mailing Address* Street Address City State / Province / Region ZIP / Postal Code HiddenI have taken a course (credit or audit) at NBC in the past: Yes No I have taken a course (credit or audit) at NBC in the past:* Yes No I am an Alumni of NBC/NBI/TRBI:* Yes No Educational Background*Choose OneI am in Grade 11I am in Grade 12I have completed High SchoolWhich High School do you attend or Home Based Education Program are you registered with?* Birthdate*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Parent/Guardian Names* Please give a brief testimony of your Christian walk.*Are you taking this course for credit or audit?*Choose OneCreditAuditAre you taking this course on-campus or on-line?*Choose OneOn-CampusOn-lineWhich course are you registering for credit?*Choose OneWisdom LiteratureWorld ReligionsAngelology, Demonology, and Spiritual WarfareYouth Ministry (1-week Mod - On Campus ONLY)Church Dynamics (1-week Mod - On Campus ONLY)Which course are you registering for audit?*Choose OneWisdom LiteratureWorld ReligionsAngelology, Demonology, and Spiritual WarfareYouth Ministry (1-Week Mod - On Campus ONLY)Church Dynamics (1-Week Mod - On Campus ONLY)Payment Plans*Choose Onee-transferOther - please call NBC (888-862-5095)Total $ 0.00 CAD Consent* I authorize my child to take part in Nipawin Bible College's on-line course.Parent Name* Comments or Questions Δ