Exeat and Weekend Form

Online Exeat and Weekend Permission Form (1)

An assumption will be made by the Boarding team that a student is remaining in school for the weekend unless one of these forms is completed. Deadline for completion is each Wednesday that school is in session, at 6pm.

Name*
First Last
Year Group*
Departure Date*

Day
Month
Year
Departure Time*

: Hours

Minutes
Return Date*

Day
Month
Year
Return Time*

: Hours

Minutes
Address (where the student will be during exeat)*
Street Address Address Line 2 City County / State / Region ZIP / Postal Code Country
Mode of transport*
- Train
- Taxi
- Car
- Other
Name of Responsible Adult at address*
First Last
Contact number of Responsible Adult*
Name of Parent/Guardian requesting exeat*
First Last
Contact number of Parent/Guardian*
Email address of Parent/Guardian*
Will the student be returning to boarding with any medication*
- Yes
- No
If 'Yes' please provide details on the medication below.
If you answered 'Yes' to the question above, please provide details of the medication:
I give consent for this exeat request and confirm that I agree to have checked my son / daughter's social media use and have no concerns.*
- Yes
- No
Today's date*

Day
Month
Year