Overnight Leave Form
Policy: When leaving campus overnight, students are required to notify their Residential Assistant at least two days in advance. Documented parental/guardian approval is required before permission is granted.

Please note: This Overnight Leave Form is not applicable for STEM students.

To check the status of an overnight leave form, please call (401)863-1015 or email RD-oncall@brown.edu. Forms are processed daily from 8am to 4pm. Please allow adequate time for processing.

An Overnight Leave Form is not intended as a means to stay out after curfew. Please plan on departing/returning to campus between the hours of 6:00am-10:00pm.

Email address *
Student Information
Name of Student *
Your answer
Student Telephone *
Please included international prefixes if applicable.
Your answer
Residence Hall *
Residence Hall Room Number *
Your answer
Destination of Overnight Stay *
Address of Overnight Stay *
Format - Location Title, City/Town, State, Zip Code
Your answer
Telephone number at destination *
Please include international prefixes if applicable.
Your answer
Reason for leaving campus *
Date of Departure *
MM
/
DD
/
YYYY
Time of Departure *
Time
:
Date of Return *
MM
/
DD
/
YYYY
Time of Return *
Time
:
Parent/Guardian Information
Parent/Guardian Authorizing Permission *
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian Mobile Telephone *
Please include international prefixes if applicable.
Your answer
Parent/Guardian Home Telephone
Please include international prefixes if applicable.
Your answer
Parent/Guardian Work Telephone
Please include international prefixes if applicable.
Your answer
I acknowledge that the submission of this form will give permission for my child to travel off campus for the trip outlined in this form. *
If you need to update this form, please contact the Pre-College Campus Life Office at 401-863-1015 (Monday-Friday 8:00am - 4:00pm) or email RD-oncall@brown.edu.
A copy of your responses will be emailed to the address you provided.
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