Request for Program Absence

Students should plan to commit to the full length of the program and to schedule other commitments when the program is not in session. Missing any part of the program can impact the student's experience and academic performance. Students will not be automatically excused from classes to attend other commitments. They will need to get permission from their instructor and director to miss any scheduled classes.

If necessary, a parent/legal guardian may request a program absence for their student. For overnight absences, the student must plan to leave campus prior to 9:00pm. Students must sign out with staff before leaving and sign back in once they arrive back to campus. WashU and Arts & Sciences Pre-College Programs are not responsible for students during parent/guardian approved program absences.

This form should be completed by the parent/legal guardian at least 24 hours in advance of this absence.

Student First Name

Student Last Name

Program student is attending

Email address of student

Date of departure

Time of departure

Date of return

Time of return

Residential students should return by 9:00pm curfew.

Reason for absence

How is student departing from campus?

First and last name of individual picking up student

Students must be picked up by a parent/legal guardian or an individual over the age of 18 designated by the parent/legal guardian. Photo identification is required at time of pickup.

Contact phone number for individual picking up student

I confirm I am the parent/legal guardian of the student listed on this form. By typing my full name below, I give permission for my child to be absent from the program and to use transportation methods as indicated on this form. I understand that Washington University is not responsible for my child during this absence.

Email address of parent/legal guardian

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