Perry Hall Visitor Registration Form

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This form must be submitted prior to noon on the first day of your visit to Perry Hall. Any submissions for visiting between Friday evening and Monday morning must be submitted before noon on Friday.

For safety and security purposes, anyone staying in the building after 10:00 pm must complete this visitor request form, even if you will be leaving during the night.

Email *

Visitor's Last Name *

Visitor's First Name *

Date of Birth (you must be at least 18 years of age) *

YYYY

Home Address *

Phone Number *

Are you a currently registered SUNY CCC student? *

Yes

Who are you visiting in Perry Hall - Resident's Last Name *

Who are you visiting in Perry Hall - Resident's First Name? *

Resident's E-mail Address (the resident student will be notified when this request is approved/denied) *

Resident's Phone Number *

Perry Hall Suite Number? *

What date will your visit begin? *

YYYY

What date will you be leaving? (Reminder: visitors may only stay 2 days in a seven day period) *

YYYY

Will you be driving to campus? If yes, you will receive a temporary parking permit to display in your vehicle while it is parked on campus. *

Yes

If yes, Vehicle plate number

Vehicle Year

Vehicle Color

Vehicle Make and Model (i.e. Chevy Impala)

Do you agree to abide by the rules as stated in the Residence Hall Handbook? (https://www.corning-cc.edu/student-life/live-here/residence_hall_handbook.php) *

Yes

Send me a copy of my responses.

Submit

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