Hotchkiss Self-Guided Tour - Vaccination Declaration Form

Thank you for your interest in visiting Hotchkiss.
All visitors must be fully vaccinated (2 weeks past final dose).
Each student may be accompanied by up to two guests.
Please carefully review our Campus Visit Policy below.

To submit this form, please be sure to click "Submit" at the bottom of the page.
Your confirmation email will include directions and campus visit protocols.

* indicates required fields

Visit Information

The Admission Office will be staffed February 3 through 28 during the following times:
Monday, Thursday, and Friday, 9 a.m. to 3 p.m. Our office is otherwise closed to visitors.
Visitors arriving outside of these times must check in with Security.

Upon your arrival, please check in with our staff in Harris House.
Bathrooms will be available for your use. All other indoor spaces and facilities will be unavailable.

Available dates: February 3 - 28, 2022

Date of your visit *

Approximate time of visit *

Student Information

First Name *
Please be sure to use student's formal first name.

Last Name *

Preferred Name - Optional, if different from first name

Birthdate *

Preferred Student Email Address * – Please do not use parent/family email.
Be sure to use the same email you submitted on your inquiry form or application.

Current School

Current Grade

Entry Grade

City

State/Region

Country

Student Proof of Vaccination

COVID-19 vaccine manufacturer(s) *

Vaccination date(s) * - provide all dates, including boosters if applicable

Vaccine lot number(s) *

Additional Guests

Each student is welcome to have up to two registered, fully-vaccinated guests.

How many additional guests besides the student will attend the visit? *

0

1

2

Guest 1 Information & Proof of Vaccination

Guest 1 Full Name *

Relationship to Student

Guest 1 Email Address *

COVID-19 vaccine manufacturer(s) *

Vaccination date(s) * - provide all dates, including boosters if applicable

Vaccine lot number(s) *

Guest 2 Information & Proof of Vaccination

Guest 2 Full Name *

Relationship to Student

Guest 2 Email Address *

COVID-19 vaccine manufacturer(s) *

Vaccination date(s) * - provide all dates, including boosters if applicable

Vaccine lot number(s) *

Campus Visit Policy - Required

We require all visitors to follow campus policies to keep our community and visitors healthy and safe.

Only fully vaccinated (2 weeks after final vaccine dose) guests are allowed to visit.
Visitors are required to wear face masks during their entire visit.
Visitor groups should maintain social distance between other groups
Visitors may not approach Hotchkiss students or staff, nor enter any buildings except to check in at Harris House.
Anyone who has been exposed to COVID-19 within 14 days prior to their appointment, or who is feeling unwell the day of their appointment, may not visit campus.
If within 5 days after your visit you are diagnosed with COVID, please be sure to inform us.
If pandemic conditions require, we may adjust our policies, including cancelling self-guided tours or closing campus to all visitors. We will notify you at the email addresses above with as much advance notice as possible.

I and my guests agree to the campus visit policy above.