Course Registration

Name*

First Last

Email*

Phone*

Mailing Address*

Street Address City State / Province / Region ZIP / Postal Code

I have taken a course (credit or audit) at NBC in the past:

Educational Background*

Which High School do you attend or Home Based Education Program are you registered with?*

Birthdate*

Parent/Guardian Names*

Please give a brief testimony of your Christian walk.*

Are you taking this course for credit or audit?*

Are you taking this course on-campus or on-line?*

Which course are you registering for credit?*

Which course are you registering for audit?*

Payment Plans*

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