Off Grounds Permission Form Please submit this form 72 hours prior to your trip to allow us to approve or deny your pass. Student's Name *Date *Email Address *Phone *Date You Plan To LeaveTime you plan to leave *HourMinuteAMPMDate You Plan To ReturnTime you plan to return *HourMinuteAMPMIf you plan to fly...Who is responsible to carry you to the airport?Who is responsible to pick you up on return flight?Location Name and Address that you will be staying *With whom you will be staying *Give name and relationship with person(s) with whom you will be stayingReason you need permission *Notice:I have contacted my parents, and they have given me their permission to go out of town on this trip. (You cannot go out of town without their permission.)Parent's Phone *Submit Form
