Wellness Day Request

Wellness Day Request

The Woodstock Academy Residential Life
*This form must be submitted at least 24 hours prior to the requested wellness day.
Name*

First NameLast Name
Number of wellness days used this year*
Date of requested wellness day*

MonthDayYear
Date
Reason for wellness day*
Dorm name*
Dorm room number*
Name of Dorm Parent*
If approved, I agree to the following:
1. I will not order Door Dash or any other type of delivery during the school day.
2. I will remain in designated areas at all times.
3. I will follow all school rules and ResLife policies
4. I may not use Wellness Days to extend vacations or other trips.
Agree/Disagree*

AgreeDisagree
Should be Empty: