Student Affairs - Dean's Office

STANDARDS OF CONDUCT

GUEST REGISTRATION AND MEDICAL RELEASE INFORMATION AND CONSENT

 

All guests staying overnight at Wesleyan need to be registered with a current student; registration information and the guest registration form are located in each student’s electronic portfolio.

If the visiting student is under the age of 18 at the time of the visit, a parent or legal guardian will need to read and sign the consent below.  The visiting student should have a copy of the consent to provide to the Office of Residential Life or Public Safety.

To register your guest through your Electronic Portfolio, please click here

 

If a guest is under 18 years old a parent/guardian should complete the following:

I give permission for my child named above to visit Wesleyan University, Middletown, Connecticut. I hereby release, underwrite and hold harmless Wesleyan University, its trustees, officers, agents, and employees from any and all liability, damage, claim of any nature whatsoever arising out of or in any way related to my child's participation in this visit to Wesleyan. In case of an emergency and if we cannot be reached, we the undersigned parent or guardian of the above-named child, do hereby authorize a representative of Wesleyan University to consent to any medical treatment or care deemed advisable

I have read and fully understand all the provisions of the Permission/Release form. I have also read and agree to comply with the Visitation Policy described above.

Signature of Parent/Guardian:

                                                                                                Date: