Halcyon Hall Off Campus Parental Agreement

Student's Name*
First Last
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
This permit is specifically designed to reach a mutual understanding as to the permissions, you, the parent, wish your child to have for overnight, weekend, and vacation leaves. This is a document that can be altered by you at any time. We request that these changes be in writing.*
- Standing permission for home only – Indicates that your child may go home anytime that is in harmony with school rules.
- Special permission—Indicates that your child may leave campus in harmony with school rules to places and at times agreeable to you, the parent. Please specify the homes and other locations you give your child permission to stay
- Stand general permission – Indicates that your child may go anywhere at any time that is in harmony with school rules with no restrictions.
Name | Address | Phone Number*
Parent's signature*
Date*
Date Format: MM slash DD slash YYYY