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Consent for Minor Guest Visitation 

The Department of Residence Life strives to create a positive living-learning environment within the residence halls and apartment communities across campus. Residence Life welcomes and encourages family and friend visits to our campus and understands that visits often include a desire to visit the residential campus and our residents. However, with limited exception, students are adults and student housing is not always an appropriate venue for minor children who are not closely supervised by parents or guardians. It is important to us to ensure the safety of our students as well as any visitors and guests, particularly those under 18. For this reason, we request that the following form be completed by a parent or guardian for 16 or 17 year old minors requesting to visit a University of Alaska Anchorage residential student in the residential community without a parent or guardian present. All requests will be reviewed on a case-by-case basis.

Please also note: student housing is also not permitted to serve as alternative housing for friends or family members of residents. 

Minor Guest Visitation Policy: Guests 16 & 17 Years of Age 

Any individual 16 or 17 years of age may visit and also stay overnight in a residence hall or apartment if their parent or guardian provides written permission to Residence Life a minimum of 2 business days in advance of the guest’s arrival. 

• Written permission from the parent or guardian must include a parent or guardian’s phone number; the full name of the minor, parent/guardian, and host; specified dates of the proposed stay; and the DOB of the minor.

• Online permission form: for ease, parents or guardians may complete this online permission form.

• This provision does not apply to approved camps and programs using our residential buildings for approved activities and authorized adults are in-place as chaperones.

• Please note: this provision applies only to 16 & 17 year old guests of UAA students. The guests of UAA students residing on campus who are over 17 years of age are not subject to this parent/guardian permission policy.

Minor Guest Visitation Policy: Guests 15 Years of Age & Younger 

Any individual younger than 16 years of age is not permitted to check in or stay overnight in the residence halls.

Visitors younger than 16 years of age may only enter the residence halls accompanied by a parent or guardian, who must accompany them during their entire visit and only between the hours of 8:00 am to 10:00 pm.

Please note: This provision does not apply to approved camps and programs using the residence halls for approved activities and authorized adults are in-place as chaperones.

 

AGREEMENT TO RELEASE ALL CLAIMS FOR INJURY AND TO PROTECT THE UNIVERSITY AND OTHERS FROM ANY SUCH CLAIMS THAT MAY BE BROUGHT

(FOR MINOR PARTICIPANTS - AGE 17 AND YOUNGER)

This waiver is a mode of communication to ensure you are aware of the code of conduct and operating guidance and release of liability.

This waiver applies to minor guests of students residing in housing at UAA.

As their parent/legal guardian, I support my child’s decision to participate as the guest of a UAA student in housing and, by signing below, indicate that I have reviewed the following information with my child and that we understand and agree to the information presented.

By my signature, I represent that I have knowingly and voluntarily signed this agreement with the intent that it be a legally binding document designed to protect the University of Alaska and other Released Parties from all Claims which could be brought by myself or anyone else on account of injury to me or my child, regardless of cause or fault.

 

 

First Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
First Minor Guest's Date of Birth*
First Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
First Minor Guest's Signature*
Second Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Second Minor Guest's Date of Birth*
Second Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Third Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Third Minor Guest's Date of Birth*
Third Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Fourth Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Minor Guest's Date of Birth*
Fourth Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Fifth Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Minor Guest's Date of Birth*
Fifth Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Sixth Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Minor Guest's Date of Birth*
Sixth Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Seventh Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Minor Guest's Date of Birth*
Seventh Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Eighth Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Minor Guest's Date of Birth*
Eighth Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Ninth Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Minor Guest's Date of Birth*
Ninth Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Tenth Minor Guest's Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Minor Guest's Date of Birth*
Tenth Minor Guest's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Parent or Guardian's Email Address

Email*

Confirm Email*
Additional Parent or Guardian Information

Parent/Guardian Phone Number *

Parent/Guardian Address *
Additional Questions
I certify that I am the parent or legal guardian of the named minor listed above, who is under 18 years of age. I give my consent for this individual to visit the University of Alaska Anchorage residential community, under the supervision of the above student host during the dates listed above.*
No
Yes
I have been provided access to the Community Living Standards, including relevant guest policies, which can be accessed online: https://www.uaa.alaska.edu/on-campus-living/current-residents/community-living-standards.cshtml*
No
Yes
I understand that the University of Alaska Anchorage expects that all guests will abide by Residence Life policies, as well as all local, state and federal laws. I have reviewed behavioral expectations with my child or dependent. Further, I understand that University of Alaska Anchorage, Department of Residence Life, assumes no supervisory responsibilities for my child or dependent during the visitation period.*
No
Yes
I understand that if at any time my child or their student host violates University policy, I understand that I may be contacted 
to pick up my child immediately or that I will be personally and financially responsible for finding an off campus location for my child to stay at if they are removed from campus housing.*
No
Yes
I understand that submitting this form does not guarantee that permission will be granted for my child to be a guest on UAA's residential campus. The Department of Residence Life reviews requests for visitation on a case by case basis. A staff member will contact me to verify my identity and that additional information may be required at that time. I understand that incomplete or missing information may invalidate the request. Submitting this form does not constitute approval. Prior approval must be received from the Department of Residence Life before the visitation occurs.*
No
Yes
In consideration of UAA allowing my child to be a guest on residential campus, I hereby release and hold harmless UAA, and each and every one of their affiliates and subsidiaries, as well as each of their trustees, officers, representatives, employees and agents against loss from any and all claims or causes of action for all known and unknown, foreseen and unseen, bodily injuries, damages to property and consequences thereof which may be sustained by my child or by me arising out of, or in connection with, my child's visit. In addition, I agree to take full responsibility for any damage done to University property by my child during their stay at UAA.*
No
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Visit Information

First and Last Name of Host *

Host Housing Assignment (Building and Room Number) *
Minor Overnight Guest's ID*

If you selected "Other", please include what kind of ID the minor has here.

Minor Overnight Guest's ID Number *

Please select the start date of the minor overnight guest's approval. *

Please select the end date of the minor overnight guest's approval. You may approve for up to one semester. *
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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