Early Departure from Conference
This form must be completed if the student is to depart the University of Colorado – Colorado Springs after the Awards Banquet on DATE. This form need not be completed if the student will depart at the normal conclusion of the conference.

Option 1: Student does not have a vehicle at UCCS – Colorado Springs and will depart after the Awards Banquet. My son/daughter, as named above, will depart the conference after the Awards Banquet. He/she will be departing with his/her parents/guardian or other named adult attending the banquet.

Option 2: Student does have a vehicle at UCCS – Colorado Springs and will depart after the Awards Banquet. My son/daughter, as named above, will depart the conference after the Awards Banquet. The following parent/guardian or other named adult attending the banquet will accompany the student. (For safety purposes, any student that has driven to the conference will not be permitted to depart early unless accompanied by the person as designated below).

Attendee First Name *
Your answer
Attendee Last Name *
Your answer
Departure Option (see above) *
Required
Person with whom Departing (First Name/Last Name/Relationship) *
Your answer
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