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Loreto College Boarding School LEAVE REQUEST FORM 2013 FAX NUMBER 83344288 Please fax to Boarding House no later than Monday night before exeat / term s end Tick type of leave EXEAT OR END OF TERM Boarder s Name. My daughter will be returning home for the exeat will NOT be returning home but staying elsewhere Returning home details complete if applicable Day and date leaving the Boarding House She will be travelling home by Complete section a b c or d as applicable a BUS/TRAIN departing from at scheduled departure time of. am / pm b PLANE departing Adelaide Airport at scheduled departure time of. am / pm d PRIVATE CAR departing from the Boarding House at. am / pm with name relationship of responsible adult Phone no. She will return to the Boarding House by am / pm on / /. 2013 NOT returning home details complete if applicable She will be staying with. name of responsible adult at. Phone. and has our permission to do so She will leave the Boarding House at. am / pm and is travelling by. Start of Term return time is 1pm - 8. 00pm unless transport dictates otherwise For exeats and term holidays please ensure faxes are received by the previous Monday Parent s name Signature Date /. My daughter will be returning home for the exeat will NOT be returning home but staying elsewhere Returning home details complete if applicable Day and date leaving the Boarding House She will be travelling home by Complete section a b c or d as applicable a BUS/TRAIN departing from at scheduled departure time of. am / pm b PLANE departing Adelaide Airport at scheduled departure time of. am / pm d PRIVATE CAR departing from the Boarding House at. am / pm b PLANE departing Adelaide Airport at scheduled departure time of. am / pm d PRIVATE CAR departing from the Boarding House at. am / pm with name relationship of responsible adult Phone no. She will return to the Boarding House by am / pm on / /. am / pm with name relationship of responsible adult Phone no. She will return to the Boarding House by am / pm on / /. 2013 NOT returning home details complete if applicable She will be staying with. name of responsible adult at. 2013 NOT returning home details complete if applicable She will be staying with. name of responsible adult at. Phone. and has our permission to do so She will leave the Boarding House at. am / pm and is travelling by. Phone. and has our permission to do so She will leave the Boarding House at. am / pm and is travelling by. Start of Term return time is 1pm - 8. 00pm unless transport dictates otherwise For exeats and term holidays please ensure faxes are received by the previous Monday Parent s name Signature Date /. My daughter will be returning home for the exeat will NOT be returning home but staying elsewhere Returning home details complete if applicable Day and date leaving the Boarding House She will be travelling home by Complete section a b c or d as applicable a BUS/TRAIN departing from at scheduled departure time of. am / pm b PLANE departing Adelaide Airport at scheduled departure time of. am / pm d PRIVATE CAR departing from the Boarding House at. am / pm with name relationship of responsible adult Phone no. She will return to the Boarding House by am / pm on / /.

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