Excused Absence Request
Complete this form for club members that will miss class for travel.
Club:
Date of Departure:
Date of Departure:
/
MM
/
DD
YYYY
Departure Time:
Departure Time:
:
HH
MM
AM
PM
AM/PM
Date of Return:
Date of Return:
/
MM
/
DD
YYYY
Reason for absence:
Location of Event:
List of Members Attending:
Submitted by:
Submitted by:
First
Last
Submit
