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Parent/Guardian Consent Policy & Form

1) Minors aged 16-17 require written parent/guardian consent to visit residential facilities at the University. 2) The consent form must be submitted at least 3 business days before the visit and includes information about the minor guest, their parent/guardian, and intended visit dates. 3) Once approved, the minor guest must show their government ID and documentation of approval when checking in at the security desk.

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Erolle Linus Miranda
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48 views1 page

Parent/Guardian Consent Policy & Form

1) Minors aged 16-17 require written parent/guardian consent to visit residential facilities at the University. 2) The consent form must be submitted at least 3 business days before the visit and includes information about the minor guest, their parent/guardian, and intended visit dates. 3) Once approved, the minor guest must show their government ID and documentation of approval when checking in at the security desk.

Uploaded by

Erolle Linus Miranda
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Parent/Guardian Consent Policy & Form

Required for All Underage Residence Hall Guests


Minors to be registered as a guest in University residential facilities

Policy:
Non-La Salle prospective guests (ages 16 or 17) may be permitted access to University residential facilities when the following actions are taken:
1. The University must receive written parent/guardian consent for their child to be present in La Salle residential facilities during the
specified time (this form).
2. The guest must produce government-issued photo ID when registering with their host.
3. The request is received at least 3 business days (72 hours) prior to the visit.
4. The University verifies and approves the request for the minor to be present during the specified period of time.

Parent/Guardian:
Submit this form to Community Development Office either via fax (215-951-5109) or as a scanned attachment either via e-mail
([email protected]) or online (http://studentaffairs.lasalle.edu/communitydevelopment/). The parent/guardian will receive an e-mail
confirmation of the request upon our receipt. Once the request is processed/verified, approval will be communicated to the host, guest,
parent/guardian, Security Desk Reception (SDR) staff supervisor and live-in staff supervisors via email. The guest must produce government
issued photo ID and documentation of the approved request (print out of email/email on phone/other device) to the Security Desk
Receptionist and register through the standard guest registration process.

Consent Form:
Please Indicate Date(s) of Intended Visit Arriving: Departing:

Host Information Name:


Cell: Campus Residence:
Sex (check one): Male Female Email:

Guest Information Name:


Cell: Birthdate: Age:
Sex (check one): Male Female Email:
Permanent Address:

Parent/Guardian Information
Name: Day/Business Phone:
Cell: Email:
Best time(s) to call between 10am-4pm, Monday-Friday:
Permanent Address:

Parent/Guardian Signature:

Office Use Only:


Rcvd: / Confirmation: /
Date/Initials Date/Initials
Notes:
Notification: Host___ Guest___ P/G___ SDR supervisor___ CD staff on-call___ DSA on-call___
Completed form must be submitted three business days prior to intended visit via fax (215-951-5109) or as a scanned attachment either via e-mail
([email protected] ) or online (http://studentaffairs.lasalle.edu/communitydevelopment/) .

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