Revised 11/12/07 RESIDENCE LIFE - DIVI SION OF STUDENT LIFE NAME OF RESIDENCE HALL: _________ __________________ DATE(S) OF VISIT: HOST/HOSTESS INFORMATION: Host/Hostess Name______________________________________ Host/Hostess Hall & Room Number ________________________ Host/Hostess Telephone Number __________________________ GUEST/VISITOR INFORMATION : Guest/Visitor Name ______________________________________ Guest/Visitor Permanent Address: Street Address _________________________________________ City___________________ State _______Zip Code ___________ Cell Phone Number: ( ) Emergency Contact Information: Name _________________________________________________ Telephone Number ( _____ )_______________________________ For the Host/Hostess, please initial each statement: FOR RETURN GUESTS ONLY: DATE OF VISIT APPROVED BY __________________ ____________________________ __________________ ____________________________ __________________ ____________________________ __________________ ____________________________ Additional entries on reverse side ________ I have discussed with my roommate(s) that an ov ernight guest will be staying and have their consent. ________ I understand that alcohol is prohibited on the campus of Slippery Rock University regardless of my guest’s age. ________ I understand that I am to escort my guest at all times while th