• ELEMENTARY PRE-PLANNED ABSENCE APPROVAL FORM

  • Date request received
     - -
    2 digit month, 2 digit day, 4 digit year
  • The absences listed above are:
  • Date Signed
     - -
    2 digit month, 2 digit day, 4 digit year
  • Appointment Time
     - -
    2 digit month, 2 digit day, 4 digit year
  • First Day of Absence:*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Last Day of Absence:*
     / /
    2 digit month, 2 digit day, 4 digit year
  • Please mark the reason for absence: *documentation may be required
  • We do not recommend that students miss school for trips, family vacations, etc.  The educational experience through classroom learning cannot be replicated by just completing missed assignments. However, if it is necessary to take your child out of school, please complete this form and submit it to the school office at least one week prior to the absence. With appropriate notice, the teacher will provide classwork and homework that your child can work on while away from school. Certain in-class projects or lessons may not be able to be made up. In addition, your child may need to stay in from recess, come to school early, or stay after school to make up test or quizzes that have been missed. If this form is not receive at least a week before the students departure, assignments may not be ready to provide to you prior to the absence. It is the students responsibility to make up all work missed. 

    Please note that completion of this form does not make the absence excused. If planned absences cause the student to exceed the 10 day per semester absence restriction (excused or unexcused), the school administration reserves the right to review such instances in a case-by-case basis.

  • Date
     / /
    2 digit month, 2 digit day, 4 digit year
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  • Image field 16
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