PASS FORM
All requests must be recorded in advance at your house meeting prior to submission here. You must receive approval from staff on Friday night prior to departure. Passes not submitted a minimum of 72 hours in advance will be denied. ONLY PHASE THREE RESIDENTS MAY TAKE A PASS BEYOND 4 MONTHS RESIDENCY NO EXCEPTIONS.

A Mandatory Meeting Exemption can also be completed on this form for a Friday night, Tuesday night or Sunday morning absence. A Permanent Request is for phase three residents requesting a one-time pre approval for the same exemption every week.

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Email *
ACKNOWLEDGEMENT OF THE REQUEST
BY SUBMITTING THIS REQUEST YOU ACKNOWLEDGE THAT THIS PASS REQUIRES A ZERO BALANCE ON RENT AND FULL TIME EMPLOYMENT AT THE TIME OF SUBMISSION AND DEPARTURE.  ALSO, THAT THIS REQUEST MUST BE COMPLETED AND APPROVED PRIOR TO DEPARTURE. FINALLY, I ACKNOWLEDGE THAT A PASS IS GRANTED ONCE PER CALENDAR MONTH. I UNDERSTAND THAT A PASS IS A PRIVILEGE AND IS NEVER OWED TO ANYONE REGARDLESS OF LENGTH OF STAY.
TYPE OF REQUEST: *
PHONE NUMBER *
DATE OF REQUEST: *
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DATE OF DEPARTURE FOR PASS REQUEST AND/OR DATE OF MANDATORY MEETING EXEMPTION REQUEST: *
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DD
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I UNDERSTAND THAT I MAY NEVER DEPART WITHOUT APPROVAL AND A ZERO BALANCE. THIS WILL RESULT IN LOSS OF PASS PRIVILEGES. *
CHECK BOX BELOW THAT YOU AGREE TO THE ABOVE TERMS
Required
GIVE A BRIEF DESCRIPTION OF TRAVEL PLANS OR AN EXACT REASON FOR THE MEETING EXEMPTION AND THE STAFF MEMBER NOTIFIED PRIOR TO FILLING THIS REQUEST OUT.   *
HOW LONG HAVE YOU RESIDED AT BEACH HOUSE AT THE TIME THIS PASS IS BEING SUBMITTED?
PRINT YOUR NAME IN THE BOX AS AN ACCEPTANCE OF THE TERMS. FOR PASSES, YOU MUST HAVE YOUR SERVICE, DRIVING AND CHAIR COMMITMENTS COVERED AND REPORT IMMEDIATELY UPON RETURN IN ORDER TO HAVE A URINE ANALYSIS CONDUCTED.   *
A copy of your responses will be emailed to the address you provided.
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