Parent Consent Form For Off-Campus Housing

Parent Consent Form For Off-Campus Housing
Housing Situation
Who will be living with your student?*

No one- my student will be aloneFriendsTeammatesParent/Guardian
Living Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Roommates Names*

Student Information
Student Name*

First NameLast Name
Age*
Date of Birth*

MonthDayYear
Date
Phone Number*

Area CodePhone Number
Warner Email*
example@example.com

Parent/Guardian Information
Parent/Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number

Consent Agreement
I acknowledge that I am the parent/guardian of the student mentioned above.

I, ({parentguardian1}) am fully aware that my student is requesting to be granted Off-Campus Housing Status at Warner University, and to my knowledge, everything on this document and on his/her Off-Campus Housing Application is factual and true.
Signature of Parent/Guardian *

Clear
Date Signed*

MonthDayYear
Date
Should be Empty: