Resident Name:
Resident Address:

Date:

As permitted by my lease, I would like to register the following individual(s) as overnight guests at my home for a period to begin on
and to end on :

Name Home Address Date of Birth Social Security Number

By my signature below, I acknowledge that Teague Housing Authority may run a criminal history check on adult overnight guests if they stay longer than 14 nights in any 12 month period without written authorization from the Authority, or cause problems for the Authority or my neighbors.
I also understand that I am responsible for the behavior of everyone who visits me.
Signature of Resident:
Signature of Adult Guest:
Guests who are children need not sign.