Student Full Name

Student Mobile Number

Parent/Guardian Full Name

Parent/Guardian Phone Number

Parent/Guardian Email Address

Date Departing on Leave

Date Returning from Leave

Time Departing the Boarding House

Time Returning to the Boarding House

Yes, I give permission for my daughter to travel home with a day student on her usual public transport route (Friday afternoon only). I understand that there will be no adult supervision during this travel.

I understand that St Vincent's College does not have responsibility for my daughter while she is on overnight leave. I have explained to my daughter's host their responsibilities while she is in their care.

Please provide a reason for this leave