Request Permission for Minor to be a Guest

TIP: This form is easier to fill out on a mobile device (phone or tablet) so you can draw your signature at the end.

This permission form is required to be submitted in advance for any person between the ages of 13 - 17 years old to visit a Barnard or Columbia student living in a Barnard Residence Hall without their parent/legal guardian present.
No one under the age of 13 is permitted to enter any Barnard-owned or operated residence halls without their parent or legal guardian being present the entire time (and may not stay overnight in the residence halls).
This form must be submitted a minimum of 2 days in advance of campus visi, and no later than 10am on Friday for a weekend visit of a minor not accompanied by a guardian. Minors will not be permitted access to the residence halls without approval of this form.
Minors are not permitted as guests during specific periods on campus (including breaks and exam periods). For the list of times minors are not permitted as guests, please see below.
Minor guests must be accompanied by their student host at all times while they are on campus or in their host’s residence hall. Only one student may be designated as the host and the minor may only enter the host’s assigned residence hall.
Guests are subject to all College, local, state, and federal laws. Violations of policies by the student host or their minor guest may result in parental notification, required vacating of College premises, and/or loss of host’s guest privileges.
A Minor may visit for no more than 3 consecutive nights (and no more than 3 nights in any 30-day period).
This form must be completed & signed by the minor’s parent or legal guardian.

One guest per form. Requests for siblings, etc. must be submitted via a separate form for each individual.

Minor's Full Name (First & Last)

Minor's Date of Birth (Must be 13 years or older)

Enter as M/D/YYYY
click the YEAR on the pop up calendar to chose previous years

Note: Minors are NOT permitted as guests during the following periods.

NSOP (New Student Orientation Program)
Move-In Weekend
Halloween Weekend (October)
Fall Break (late October / early November)
Thanksgiving Break (November)
Fall reading & exam period (mid-December)
Winter Break (December - January)
Spring Break (March)
St. Patrick's Day Weekend (March)
Bacchanal Weekend (typically in April)
Spring reading & exam period (mid-May)

Date Arriving to Campus (enter as M/D/YYYY)

Date Departing from Campus

Minors may visit for no more than 3 consecutive nights (and no more than 3 nights in any 30-day period).

Does the Minor have any medical conditions that we need to be aware of?

Please ask the Student Host to provide the information below to you, so that you can accurately provide it.

Student Host's Name (First & Last Name)

Student's Host's School Email Address (@barnard.edu or @columbia.edu)

Student Host's Residence Hall

Student's Host's Room Number

Note: Students who live in the Quad must also pre-register guests at least 24 hours in advance so they can access campus.

If the Campus Access request on the form above has not been approved, guests (including Minors) will not be permitted to enter the main gates of campus and will not be able to access the Quad.

Student Host's Cell Phone Number

Parents or Guardian Information

Parent or Guardian's Full Name (First & Last Name)

Parent or Guardian's Email Address

Parent or Guardian's Phone Number

Home Address (enter as Street, City, State, Zip)

By signing below, I grant permission (as the parent or legal guardian) for the minor named above to visit the student host’s residence hall at Barnard College. I understand that there may be window stops rather than window guards present in some buildings and that the host is completely responsible for the welfare of this minor. I also understand that if the host or the minor engage in any violation of College policy, they may be required to vacate the premises and I take responsibility for such relocation.

Forms must be submitted at least 2 days in advance of visit (no later than 10am Friday for a visit the same weekend). Requests are not approved until reviewed and a confirmation email is sent to the parent or guardian.

Parent / Guardian Signature

Sign Here

clear

Please make sure that all of the information above is correct before submitting below.

Note: Your request is not approved until it is reviewed and processed by a staff member. YA response will be sent to the Parent/Guardian email address provided above within 2 business days.