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