Permission to Leave Campus Form
We require prior parental permission any time a student will be absent from campus outside of approved off-campus hours or leaves campus with someone who is not their parent or legal guardian. Approved off campus hours are: Monday-Friday 5:00-9:00pm; Saturday-Sunday 9:00am-9:00pm.

This is not a general blanket permission form, but is to be used for specific dates on which the student needs to be off campus outside of approved off-campus hours or leaves campus with someone who is not their parent or legal guardian. A separate form will be needed for each absence. Washington University is not responsible for the student during this parent-approved absence.

Examples of when we need this form would be:

1. A family member or friend would like to take your child off campus for dinner.
2. Your child needs to be absent from the dorm overnight (for example going home for the night).
3. Your child wants to take an Uber or taxi to an off campus location.

This form should only be completed by a parent or legal guardian and submitted at least 24 hours in advance.

Student's first and last name: *
Your answer
Program student is attending: *
Off campus destination: *
Your answer
Date of departure: *
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Time of departure: *
Time
:
Date of return: *
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Time of return: *
Please note that the city and county of St. Louis have a curfew for minors of 11:00pm, Sunday-Thursday, and midnight on Friday and Saturday. Unless accompanied by a parent, students will not be permitted off campus past these curfew times.
Time
:
How is student traveling to off campus destination? *
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