Overnight Guest Form

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Overnight Guest Information Sheet
Completed form must be received from Admissions and Athletics 24 hours prior to arrival.
Today’s Date: ____________________________
Host Department:
Admissions
Athletics
Check Out
Curtis Hall Resident
Parking Pass Returned ____
Resident’s Name: _________________________________
Room # : __________
Arrival Date and Time: _________________________________
Departure
Visitor Pass Returned ____
Fees charged to host: ______
Date ________________
Date and Time: ______________________________
Guest’s Name: _______________________________________________________________________
Date of Birth: _________________________________
Age: ________________
** Guests of Curtis Hall Residents who are under 18 years of age MUST be pre-approved by the Dean
of Students. 48 hour notice for approval is required.
Visitor Pass #: __________________________
Guest Car: Make and Model _______________________________
License Plate __________________________________
Parking Pass Given: Yes / No
Parking Pass Expiration Date ______________
Emergency Contact: __________________________________________________________________
Relationship to Guest: _________________________________________________________________
Telephone Number: ___________________________ Cell Phone Number: _____________________
_________________________________________
Signature Authorizing Staff Member
 To be filled out by guest and host student upon arrival 
Guest: I,
, understand that while staying at Maine Maritime Academy, I am to abide
by the rules and regulations of MMA and its departments. I also understand that my behavior and actions will reflect directly
upon my host. I understand that I must (1.) be accompanied by my host at all times and (2.) wear the visitor pass assigned to
me at check-in at all times. In the event I cannot accompany my host to their Academy obligations (i.e., class), I will remain in
the host’s room, only leaving to use the restroom until they return.
Signature
Host: I,
, understand that as host student I am responsible and accountable for the
behavior and actions of the above named guest during his/her stay here at Maine Maritime Academy. I understand that I must
(1.) accompany my guest at all times and (2.) ensure the guest wears the visitor pass assigned to them at check-in at all times.
In the event the guest cannot accompany me to my Academy obligations (i.e., class), he/she will remain in my room, only
leaving to use the restroom until I return. Failure to return the visitor & parking passes to the Front Desk will result in
assessment of fees and/or penalties.
Signature
Revised D. Kingston 9/14
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