Cornell University Summer College note: please use the same name as on your summer college applicati 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering today’s date in the designated field at the top of the form.
3. Indicate the total length of time your student will be with the program by selecting either 'Three weeks' or 'Six weeks'.
4. In the section for parent’s/guardian’s name, fill in your full name as it appears on official documents.
5. Next, provide your child’s full name, including first, middle initial, and last name.
6. Complete the residence hall and room number fields with accurate information regarding where your child is staying.
7. Specify the dates and times for when your child will be away from campus in the appropriate fields.
8. Fill in a reachable telephone number prior to departure for any necessary communication.
9. Provide details about where your child will be staying, including street address, city, state, and zip code.
10. List an emergency contact person along with their telephone number at that location.
11. If applicable, include the driver’s name and phone number if your child will be traveling by private car.
12. Finally, review all entries for accuracy before signing and dating the form at the bottom.

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