Student Visitation Agreement
Please check all that apply:
Athletic Recruit Sport/Coach
Overnight Guest of Student Host Student
The following visitation agreement is designed to insure the safety and protection of the student host, the visitor, the parents of
the visitor and Randolph-Macon College. Please read completely and sign. Enjoy your visit!
Overnight Guest Policy: Overnight Guests (same or opposite sex), are allowed but no more than two consecutive nights and not
more than two, two night periods within a 30 day period. The Host Student of an overnight guest, must obtain permission from
their roommate before the guest’s arrival. All non-R-MC overnight guests must be registered with Campus Safety. Overnight
guests are not allowed when Residence Halls are closed or during exam week (for students and non-students)
Visitor’s Name Visitor’s Date of Birth
Visitors Address Visitor’s Cell Phone Number
Date of Arrival Date ofDeparture Visitor’s Temporary R-MC Vehicle Tag Number
Visitor VehicleInformation: Make Model License Plate Number
I agree to:
Stay with my student host at all times.
Not consume alcohol (if under 21) or illegal drugs during my visit.
Use good judgment and adhere to safety precautions and guidelines as may be set forth by College
Register my vehicle with Campus Safety
Adhere to and respect all Residence Life, Greek Life, and Code of Student Conduct policies and
the laws of the Commonwealth of Virginia.
Be responsible for my behavior and the results of my actions while I am a visitor at R-MC.
FAILURE TO ABIDE BY THIS AGREEMENT MAY RESULT IN LOSS OF VISITATION PRIVLEGES TO R-MC AND/OR REMOVAL FROM
THE R-MC CAMPUS AND/OR AFFECT YOUR ELIGIBILITY FOR ADMISSION
Visitor Signature Date
TO BE COMPLETED FOR PROSPECTIVE STUDENTS, ATHLETIC RECRUITS AND OVERNIGHT GUESTS UNDER 18 YEARS OF AGE.
Parent orGuardian Name(s)
Home Phone Number Mobile Phone Number
PARENT OR GUARDIAN RESPONSIBILITIES:
I agree to:
Leave phone and lodging/residence information for contact in the event of an emergency.
Disclose any medical conditions (see reverse side) that might need attention during the visit.
Hold harmless R-MC, its employees, students and trustees of any responsibility for any
behavior on the part of my son or daughter and the results of said behavior which may violate
this agreement, local laws and/or College policies.
Discuss the contents of this agreement with my son or daughter to ensure their compliance
Parent or Guardian Signature Date