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Departure Information Form
๐ Departure & Return Information
Date of Departure:
Time of Departure:
Date of Return:
Time of Return:
๐ค Student Information
Student Name:
Residence Hall (Dorm):
-- Select your residence hall --
Abbeville
Carolina
Charleston
Columbia
Hessie Morrah
Huguenot
Lethe
McCormick
Nickles
Palmetto
Savannah
Other
Student Phone:
๐จโ๐ฉโ๐งโ๐ฆ Parent/Guardian Information
Parent/Guardian Name:
Parent/Guardian Phone:
๐ Transportation Information
Mode of Transportation:
Select Mode
Driving Self
Leaving with another Student
Leaving with Parent
Leaving with another Adult
Driver Name:
Driver Phone:
Transporting other students?
List names (comma separated):
0
/200 characters
Student not allowed to transport?
List names (comma separated):
0
/200 characters
๐ Reason for Departure
Reason:
0
/500 characters
๐ฅ Download Format
๐ PDF Format
๐ผ๏ธ PNG Image
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