St. Olaf College Overnight Policy and Release Form

Date of requested overnight visit:

Student First Name

Student Last Name

Birthdate

Mailing Address

Country

Street

City

Region

Postal Code

Student's Email Address

Student's Cell Number

List special medical conditions, allergies to medications, etc.

Name of Parent/Guardian:

Parent/Guardian Cell Number:

Parent/Guardian Daytime Phone Number:

Emergency Contact (if parent/guardian cannot be reached):

Name:

Relationship:

Home Telephone:

Cell Number:

For Prospective Student:

As a campus guest, St. Olaf College requires that you assume the same responsibility for your actions that St. Olaf students have assumed. Please read the following statement and check the box to indicate that you understand the statement. If you do not understand the statement or how it applies to you, please ask a member of the Admission staff to explain it to you before you sign:

I am aware that although St. Olaf College has agreed to host me overnight, neither the Office of Admission nor any other office or personnel of St. Olaf College will be supervising me during my on‐campus stay. Visiting students, like enrolled students, are responsible for their behavior and are expected to behave as adults within the expectations described below.

I am aware that participants in on campus visitation programs are required to abide by Federal and State laws, local municipal codes and the policies governing student conduct that all students enrolled at St. Olaf College are expected to follow. I acknowledge that Minnesota law prohibits the consumption of alcoholic beverages by persons under 21 years of age as well as all use of controlled substances.

Further, I understand that the Office of Admission will consider any negative behavior during my campus stay when reviewing my application for admission. My violation of any of the above laws, regulations, codes and/or any damage to St. Olaf property may impact my application to St. Olaf College.

I have read and fully understand all of the provisions of the Overnight Policy and Release form.

In place of your signature, please type your full legal name:

___________________________________________________________________________________

For Parents of Prospective Student:

I give permission for my child to visit St. Olaf College. I hereby release, indemnify, and hold harmless St. Olaf College, its agents and employees, including board of regents from any and all legal claims arising out of my child's visit to St. Olaf College. In case of emergency and if I cannot be reached, I, the undersigned parent or guardian of the child, do hereby authorize a representative of St. Olaf College to consent to any medical treatment or care deemed advisable.

I have read and agree to comply with the Overnight Policy and Release Form for St. Olaf College.

In place of your signature, please type your full legal name: