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Overnight Visit Policy and Release Form- Fall 2019
This form is required for all overnight visits. Please complete this form with your parent or guardian at least 48 hours before your scheduled overnight.
First Name
Middle Name
Last Name
Preferred Name (Optional)
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Birthdate
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Email Address
Cell Phone Number
Date of overnight visit
Date of overnight visit
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Visitation Policy
I am aware that although Haverford College has agreed to host me overnight, neither the Office of Admission nor any other office or personnel of Haverford College will be supervising me at all times during my stay on campus. Visiting students, like enrolled students, are responsible for their behavior within the expectations described below.
I am aware that on-campus visitors are required to abide by Pennsylvania state law and adhere to the expectations of proper conduct that are held of students enrolled at Haverford College. I acknowledge that Pennsylvania law prohibits the drinking of alcoholic beverages by persons under 21 years of age and prohibits the use of illegal drugs.
Further, I understand that any inappropriate behavior or violation of this Visitation Policy during my campus stay will be considered by the Office of Admission.
Student Signature
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Date
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Name of Parent/Guardian
Cell Phone Number of Parent/Guardian
Home Phone Number
I give permission for my student (named above) to visit Haverford College. I hereby release, indemnify, and hold harmless Haverford College, its trustees, employees, students, agents, and assigns from any and all liability, damage, claim of any nature whatsoever, including claims for negligence, arising out of or in any way related to my student’s participation in this visit to Haverford. I understand that this visit is undertaken by my student on a completely voluntary basis and that he/she/they is responsible for his/her/their actions while on campus. I agree that despite precautions, accidents, injuries, and/or loss or damage of personal property may occur, and I assume all risks related to participation in this visit.
In case of emergency and if I cannot be reached, I, the undersigned parent or guardian of the above-named student, hereby authorize a representative of Haverford College to consent to any medical treatment or care deemed advisable. I further agree that this release shall be construed in accordance with the laws of the Commonwealth of Pennsylvania. I agree that this release is intended to be as broad and inclusive as permitted under Pennsylvania laws so that if any term or provision of this Release is held invalid, the balance shall continue in full legal force and effect.
Before signing my name to this Release, I state that:
1) I have read the Release and accompanying Visitation Policy,
2) I understand them and know that I am giving up important rights,
3) I intend to be legally bound by this Release.
Signature of Parent/Guardian
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Date
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Should you need to cancel your overnight for any reason, please do your best to give us 2 days notice. You may call the Admission Office at 610-896-1350, or email the Overnight Host Coordinators, Felix and Rafael, at
haverfordohc@gmail.com
.
Submit