This website is best viewed in a browser that supports web standards.

Skip to content or, if you would rather, Skip to navigation.

Northwest Missouri State University


Family Weekend Registration Form

Registration ends at 11:59 p.m. on September 15, 2014.
No refunds after Sept. 10.

All tickets can be picked up in the Office of Campus Activities
starting 8 a.m., Wednesday, Sept. 17 through 4 p.m., Friday, Sept. 19.
Your Bearcat ID is required when picking up tickets.

For questions, please contact the Office of Campus Activities at 660.562.1226.

Tickets for Northwest Athletic events are not available through the Office of Campus Activities and are available on the ticket page of Bearcat Athletics.

*All fields are required

Registration Information

*First Name:
*Last Name:
*Street Address:
*City:
*State:
*ZIP Code:
*Phone:
*Email Address:
*Are you: A current Northwest student
Registering on behalf of a current Northwest student (ie: family, friend)
None of the above

Northwest Student Information
This information is required so we may contact the student regarding ticket pick-up.

*First Name:
*Middle Initial:
*Last Name:
Northwest Email: (if known)

Family Weekend Events

Check all the events you wish to participate in.

Event When Cost (each)
Frangela (Comedy Duo) 7 p.m., Friday FREE
5K Run/Walk 6:15 a.m., Saturday $20.00
Pancake Breakfast 9 a.m., Saturday $4.00
Mat Franco (Comic/Magician) 7 p.m., Saturday FREE

Frangela (Comedy Duo)

Number Attending:  x $0.00

5K Run/Walk

Number Attending:  x $20.00
I would like to use the Registration Information as the first 5K Run/Walk participant.
Yes     No
1.
Name

Division

Gender

Age

Shirt Size

Address

City

State

ZIP Code

Phone
2.
Name

Division

Gender

Age

Shirt Size

Address

City

State

ZIP Code

Phone
3.
Name

Division

Gender

Age

Shirt Size

Address

City

State

ZIP Code

Phone
4.
Name

Division

Gender

Age

Shirt Size

Address

City

State

ZIP Code

Phone
5.
Name

Division

Gender

Age

Shirt Size

Address

City

State

ZIP Code

Phone
6.
Name

Division

Gender

Age

Shirt Size

Address

City

State

ZIP Code

Phone

Pancake Breakfast

Number Attending:  x $4.00

Mat Franco (Comic/Magician)

Number Attending:  x $0.00

Payment Information

Payment Type: Credit or Debit Card
Check or Money Order
Charge to my 919 account
No Payment Due
919 Number:
Total Due: $

Billing Information (required if amount due and not charging to 919 account)

I would like to use the Registration Information for the Billing Information.
Yes     No
*First Name:
*Last Name:
*Street Address:
*City:
*State:
*ZIP Code:
*Phone Number:
*Email Address:

If you are paying with a credit or debit card,
once 'Submit' is clicked, you will be transferred to a secure site to process your transaction.

To retain a copy of this application for your records,
PLEASE PRINT THIS PAGE NOW!