Brescia University Guest Form Name of Resident Having Visitor(Required) Residence Hall(Required) Room Number(Required) Name of Guest(Required) Gender(Required) Date of Birth(Required) Month Day Year Check In Date(Required) Month Day Year Check Out Date(Required) Month Day Year Emergency Contact Name(Required) Emergency Contact Number(Required)1. Guests must abide by all University and residence hall policies. Guests who are not Brescia University students will be banned from campus and face possible civil/criminal action for policy violations. 2. In ALL cases, the rights of Brescia University residents shall take precedence over the rights of guests. Residents have the right to prohibit or restrict guest presence in their own rooms, particularly regarding overnight guests. 3. A guest’s stay may not exceed three (3) overnights in any week. Violations may lead to immediate removal of the guest and/or loss or host’s and guest’s sign-in privileges. 4. Any guest who is not a current Brescia University student must be signed in and escorted at all times by the host. Failing to follow sign-in policy may result in guest removal from campus and guest restrictions for host. 5. Any guest under the age of 18 must provide written authorization from a parent/guardian. 6. University staff members may call to confirm authorization for a visit. Underage guests who violate University policies will be required to leave and face parental notification(Required) I agree .Guest Signature(Required) Please type your full legal name.Date Signed(Required) Month Day Year