Minor Registration Form

Georgetown University is committed to the safety of all individuals in its community. The University has particular concern for minor children (those under age 18).

Guests of SCS students who are under the age of 16 are not permitted at the SCS Campus (640 Massachusetts Ave., NW) at any time unless they are accompanied by a parent or legal guardian during the entirety of their visit.

Guests of SCS students who are 16 or 17 years of age are permitted to visit the SCS Campus with written permission from a legal parent or guardian. Minor guests who are 16 or 17 must be accompanied by their SCS student host at all times. Further, they may not stay for more than three (3) hours during any single visit nor may they visit the SCS Campus more than three (3) times in a one-week period.

Regardless of age, all minor guests under age 18 must be registered with SCS and have the permission of a parent or guardian using the form below.

If you have any questions about using this form, please contact us at smm248@georgetown.edu or by phone at 202.687.7723.

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    Acknowledgement of Parent/Guardian Responsibility

    By signing and submitting this permission form to Georgetown University, I certify that my child (named above) has my permission to enter the SCS Campus of his/her student host (named above) during the dates indicated. I understand that the focus on the SCS Campus is adult education and that there are certain risks inherent in my child being present on a University campus and in a University building. I further understand that my child is expected to abide by all Georgetown University policies and procedures and that any failure by my child to comply with these policies and procedures may result in removal from the SCS Campus. In such instances, Georgetown University is not responsible for transportation or other costs that might be incurred. I hereby release and hold harmless Georgetown, its employees, officers, agents, administrators, volunteers and students from all other claims, actions, causes of action, suits, judgments and demands in connection with my child’s visit. With this understanding, I hereby grant permission for my child named above to visit the SCS Campus. By signing this permission form, I attest that the information above is true and accurate. If you have questions or concerns, please contact Sissel Malmbekk, Associate Dean of Operations, between the hours of 9:00am – 5:00pm Monday - Friday or by email at: smm248@georgetown.edu. Between the hours of 8:00pm – 10:00am, you may contact the SCS Security Desk at 202-784-7375.
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