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Visiting Students at Central Penn

General Guest Registration Form

Central Pennsylvania College student hosts must register ALL guests. To register a guest, complete a form at the Safety & Security Office or the online form below (one form per guest) and provide the following information as indicated. If your guest will be bringing a vehicle onto campus then you must provide the vehicles make, model and plate number. If your guest will stay overnight, emergency contact information is required. This form can be completed prior to the arrival of your guest or at the time of arrival. The guest must keep a copy of this form in his/her possession for the duration of the visit. Black-out dates when NO visitation is allowed are:

  • First week of term (week 1) Mon - Fri,
  • Midterm week (week 6) Mon - Fri,
  • Finals week (week 11) Mon - Fri, and
  • During term breaks (week 12/13)

Please click here for further, specific details.

First Name   
Last Name   
Student ID   
Residence Hall   
Bedroom Number   
Overnight Guest?   
Guest information    
First Name
  
Last Name
Date of Birth
  
Address
City
 
State
Zip Code
 
Home phone
Cell Phone
 
Date of Arrival
 
Date Departing
Make of Vehicle
 
Model of Vehicle
License Tag Number
 
State
Guest Emergency Contact Information    
First Name
 
Last Name
Address
 
City
State
 
Zip Code
Phone Number
 
Relationship
Special Notes:    

To confirm this information was entered manually, please type the letters into the verification box:
Human Readable:
ABCDEFGHIJKLMNOPQRSTUVWXYZ
    Verification:


First, remember to print a copy of this filled in form for your guest, then:

  

When you hit the "SUBMIT" button, you should see a "Thank You" screen appear. This is confirmation of your registration. If you have any questions, please email Central Penn Security.