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Visiting campus is an excellent way for you to learn more about life as a BV student. We want you to experience the academic, social, and residential components of a BVU education.

As a BVU guest, we require you to assume the same responsibilities for your own actions that BVU students have assumed. After completing the form, please read the statements below and click "Submit" to indicate that you understand the statement. If you do not understand the statement or how it applies to you, please contact your Admissions Counselor or Coach to explain it to you before complete this form.

Student Information

All student information fields are required.

First Name: Last Name: Date of Birth (MM/DD/YYYY):
Address: City:      State:   ZIP:
Mobile Phone: E-mail: Date(s) of overnight stay:
 

Emergency Contacts (if parent or guardian cannot be reached)

All emergency contact fields are required.

Name: Relationship: Phone:
Name: Relationship: Phone:
 

Allergies/Medications

Health Insurance carrier/authorization number (required):
Student Allergies:
Student's Current Medications:
Special Accommodations Needed:
 

Permission

Parent/Guardians

By clicking "Submit" below, I give permission for the above named person to stay overnight at Buena Vista University. I hereby release, hold harmless and agree to indemnify Buena Vista University and its officers, directors, faculty, staff, representatives, employees, agents, and others associated with the university and against any present or future claim, loss, or liability for injury to person or property which may suffer or for which I may be liable to any other person related to my visit. In case of an emergency and if I cannot be reached, I, the undersigned parent or guardian of the above-named child, do hereby authorize a representative of Buena Vista University to consent to any medical treatment or care deemed advisable.

Students

By clicking "Submit" below, I, a visiting overnight guest on the Buena Vista University campus, have a full understanding of the risks involved and to the maximum extent permitted by law, release, hold harmless and agree to indemnify Buena Vista University and its officers, directors, faculty, staff, representatives, employees, agents, and others associated with the university and against any present or future claim, loss, or liability for injury to person or property which I may suffer or for which I may be liable to any other person related to my visit.

I am also aware that participants in on campus visitation programs are required to abide by Iowa state law that prohibits the use of illegal drugs as well as the drinking of alcoholic beverages by persons under 21 years of age.

Further, I understand that any negative behavior during my campus stay will be considered by the Admissions Office as part of any prior or future decision regarding my admission. I understand that I am responsible for any damages I may cause to property on campus and will be responsible for any payment associated with correcting those damages.