Overnight Visit Information Form
As a resident student at Mount Saint Joseph University, I acknowledge and accept responsibility for the behavior and safety of my guest (siblings) who will be staying in the residence hall on the date(s) below. I agree that I will accompany my guest(s) at all times while he/she is on campus.
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Acknowledge the above statement by typing full name below: *
Today's Date: *
MM
/
DD
/
YYYY
MSJ Student's First & Last Name *
Student ID Number *
Room Number *
Student's Cell Phone Number *
MSJ Email Address *
Dates of Visit *
Guest 1 *
Relationship *
Age of Guest 1 *
Name of Guest 2
Relationship
Age of Guest 2
Name of Guest 3
Relationship
Age of Guest 3
Parent/Guardian of Guest(s) First & Last Name *
Contact Phone Number *
Submit
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