Overnight Guest Pass Registration

Overnight Guest Pass Registration

The University looks forward to welcoming you to campus. Please know that all overnight visitors must be up-to-date on their vaccines or provide proof of a negative COVID-19 PCR test within 72 hours of arrival on campus. Thank you for your cooperation to promote the health and safety of the campus community and enjoy your visit to Assumption University.
Visitor's Name*

First NameLast Name
Visitor's Email*
example@example.com
Your Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of Arrival*

MonthDayYear
Date
Date of Departure*

MonthDayYear
Date
Your Mobile Phone Number*
Please enter a valid phone number.
Make and Model of Your Vehicle*
Your License Plate Number*
Name of Assumption Student You Are Visiting*

First NameLast Name
Assumption Student's Email Address*
example@example.com
Assumption Student's Mobile Phone Number*
Please enter a valid phone number.
Name of Student's Residence Hall*
Room or Apartment Number of Student*
Students hosting overnight guests of the opposite sex are responsible for arranging appropriate accommodations on a same-sex floor or apartment. Please contact your Assumption host to arrange this location and include it in this form.

I will be staying with blanks in Residence Hall blank room number: Type a label .
Please Select One of the Two Below Options:*
Please upload your proof of vaccination or negative PCR test*

Cancelof
This is a fill in the blanks field. Please add appropriate blank fields and text.
Should be Empty: