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Siblings Day Acknowledgment and Release - aged 13-17

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SIBLINGS DAY 13-17

HOFSTRA SIBLINGS DAY Saturday, February 25, 2023 Hofstra students may host up to two siblings or relatives ages 8-17 and are responsible for and must accompany them at all times. Siblings aged 8-12 may participate in the program until 9:30 p.m. on Saturday, February 25, 2023. Families may pick up siblings aged 8-12 at any point of the day but no later than 9:30 p.m. Resident students’ siblings aged 13-17 may stay overnight at their Hofstra student's residence hall room, provided the student receives their roommates’ and/or suitemate’s consent by filling out the Overnight Guest Roommate Acknowledgement Form. Transportation to campus is not provided. Please email parents@hofstra.edu for more information. To register for Siblings Day: 1. Please email us the signed form below. Both a parent/guardian and Hofstra student must sign the form. A handwritten signature is required – please print, complete, scan and email the signed Acknowledgement and Release Form below to Parent and Family Programs at parents@hofstra.edu. Please register by Friday, February 17, 2023. 2. If Hofstra resident students who have a roommate or suitemates wish to host their siblings aged 13-17 in their residence hall room, they need to submit a completed and signed Overnight Guest Roommate Acknowledgement Form available on the Siblings Day page. Guests must follow Hofstra’s Community Standards, as described in The Living Factor. If the sibling does not comply with behavioral expectations, parents may be contacted to pick up their child at any point during the weekend. IMPORTANT INFORMATION • Siblings must be between ages of 8 and 17. For safety reasons, students may only host up to two siblings/family members, and only siblings ages 13-17 may sleep over in the student’s residence hall room. • Students are responsible for their guests and must accompany them at all times. • Siblings of any gender, ages 13-17, may stay in their Hofstra students’ residence hall rooms with their roommates’ permission. • No sleepover supplies are provided. TENTATIVE SIBLINGS DAY PROGRAM 11 a.m. First Generation Brunch 12-1:45 p.m. Fun Carnival 2 p.m. Hofstra Men’s Basketball Game vs. Northeastern University 4-5:30 p.m. Family Movie 5:30-8 p.m. Dinner (students treat their siblings using their dining points) 8-9:30 p.m. Siblings Day Dance 9:30 Pickup of siblings ages 12 and under Saturday to Sunday: Sleepover for resident students/siblings ages 13-17 Sunday: pickup as per family’s convenience

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SIBLINGS DAY 13-17

Acknowledgment and Release Siblings Aged 13-17 Please print out, sign, scan, and email to parents@hofstra.edu or mail to the Office of Parent and Family Programs. Hofstra Student Host Name: __________________________________ Hofstra ID: _____________________ Commuter □ Resident □ Name of Sibling/Relative Participant: _________________________________________________ ________ Address: ________________________________________________________________________________ Date of Birth and Age: _____________________________________________________________________ Name of Parent/Legal Guardian: _____________________________________________________________ Address of Parent/Legal Guardian:____________________________________________________________ ________________________________________________________________________________________ Phone Number of Parent/Legal Guardian: ______________________________________ Hofstra University Siblings Day program (“Program”), as described on page 1, will take place on Saturday, February 25, 2023. Please read, sign, and return this form before your children can participate in the Program. Participants will not be allowed to participate unless this form is signed and returned prior to the start of the Program by February 17. _____________________________________________________________________________________ • I am the parent/legal guardian of the above Participant. • I give permission for my child to participate in this Program, including that children aged 13-17 may stay on campus overnight. I have read and agree to all the information in the Program description. • I understand and agree that my child will comply with the University’s rules, standards and instructions. I understand that the University and its agents and employees have the right to enforce its standards and may at any time terminate my child’s participation in the Program for failure to maintain these standards or for any conduct which the University or its agents consider to be incompatible with the interest and welfare of my child, the other participants or the University. • I understand and hereby acknowledge that I, on behalf of my child, myself, and my family, understand and assume all risk incurred from my child visiting and staying on-campus overnight, including the danger of being exposed to or contracting a communicable and/or infectious disease, virus, bacteria or illness, or to the causes thereof, including but not limited to COVID-19 and any strains, mutations thereof (“Communicable Disease”). • I am aware and understand that the University residential population is primarily composed of students of adult age (18 and over) and my child will be staying with these adult students. • I understand and acknowledge that my child will be required to comply with all University policies regarding residence hall guests on campus and COVID-19. I understand and acknowledge that my child will be required to comply with all applicable health and safety rules to prevent the spread of COVID-19, which are posted on the University’s website or are otherwise provided to me or my child, and which may be updated from time to time. • Pursuant to the current University residence hall guest policy, I understand and acknowledge that in order to be permitted to visit campus overnight, my child will be required to attest that they are vaccinated against COVID-19.

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SIBLINGS DAY 13-17

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I understand that I am responsible for my child’s medical or medication needs. I hereby assure the University that my child is aware of and capable of addressing his/her personal medical needs and that he/she has consulted with medical professionals as we may have deemed necessary, with regard to his/her personal medical needs. I further agree that in an emergency and/or if I cannot be reached, the University, through its agents and employees, may take whatever action is deemed necessary with respect to my child’s health and safety, including arranging for transportation to a hospital or other medical facility and providing such hospital or medical facility with the emergency contact information I provided above. I understand that I will be responsible for any fees and expenses for any medical service and/or treatment provided to my child. I understand that I am solely responsible for any and all expenses related to injuries and/or loss or damage of personal property incurred in connection with my child’s participation in the Program. In consideration of my child being allowed to participate in the Program, on behalf of my child, myself, and my family, I hereby release and agree to hold Hofstra University, its trustees, directors, officers, employees, servants, representatives, and agents harmless from and against any and all claims, losses, damages, expenses (including attorneys’ fees, and all court and litigation costs) and liability (including statutory liability), resulting from injury and/or death (including injury or death that may arise or relate to Communicable Disease) of any person or damage to or loss of any property arising out of or in any way connected with the Program and my child’s participation therein. I assure the University that I have carefully counseled my child about the risks and responsibilities of visiting the University overnight as a minor child, and that my child has my express permission to do so. I agree that photographs, whether still or action, videos, film and/or motion pictures (hereinafter “Pictures”), and/or audio recordings (“Recordings”), may be taken of my child by or on behalf of Hofstra University and in connection with this Program, and, without any compensation or further notification or approval by me or my child, grant to Hofstra University, its agents, employees, others working on Hofstra University’s behalf (“Hofstra”) the unlimited, perpetual, worldwide, unconditional and irrevocable right and license to use, distribute, publish, exhibit, digitize, broadcast, display, reproduce, make commercial use of and otherwise use directly or indirectly the Pictures, Recordings and/or my child’s image, voice, likeness and/or video footage in any form, format or media (“Media”), for any purpose, including but not limited to advertising or trade or University-related activity in promoting or providing information about University and its educational services and agree that all rights therein shall irrevocably, exclusively, unconditionally and perpetually belong to Hofstra University. I hereby agree on behalf of myself and on behalf of Student, to release and discharge Hofstra University, its officers, representatives, employees, agents, licensees, successors, and assigns from any and all claims, demands or causes of action that Student may now have or may hereafter have for libel, defamation, invasion of privacy or right of publicity, infringement of copyright or violation of any other right arising out of or relating to any utilization of the Pictures, Recordings, or Media. I agree to pick up my child by Sunday, February 26, 2023.

I have read the foregoing before affixing my signature below and warrant that I fully understand the contents thereof.

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SIBLINGS DAY 13-17

Hofstra Student Certification I have read and understood the above and am in agreement with all the terms stated above. I am aware that Hofstra students may host up to two siblings or relatives ages 8-17 and are responsible for and must accompany them at all times. I am aware and understand that the University residential population is primarily composed of students of adult age (18 and over), and that neither University employees nor volunteers will supervise or chaperone my sibling(s) or relative(s) during my stay. I understand that I am responsible for my conduct and for the conduct of my sibling(s) or relative(s) and for complying with all University rules, regulations, standards, and instructions. I understand and voluntarily assume all risks related to my sibling(s) or relative(s) visiting students of adult age. _______________________________________ Signature of Hofstra Student

______________________ Date

Parent/Guardian Certification _____________________________ Signature of Parent/Legal Guardian

______________________ Date

_____________________________ Signature of Witness

______________________ Date

_________________________________________________________________________________ Address of Witness

HUdoc 3747 / December 2022

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Siblings Day Acknowledgment and Release - aged 13-17 by Hofstra University - Issuu