Request an MAKE-UP CLAS Form

1

Student's Name

First Name

Last Name

2

Parent Phone Number

3

Family E-mail

example@example.com

4

STUDENT'S CURRENT CLASS INFORMATIONInclude Day of the week & Grade Level your child attends.

MONDAY, 3rd Grade

5

DATE STUDENT WAS or WILL BE ABSENT

6

First Time Requesting a Make-Up Class?* This field is required.

Yes

No

7

Second Time Requesting a Make-Up Class?* This field is required.

Yes

No

8

MAKE-UP CLASS DAY OF PREFERENCEPlease choose at least 3

MONDAY------- (4-6 PM Kinder-5th Grade Classes Level I & II)

TUESDAY-------( 4-6 PM Kinder-8th Grade Classes Level III & IV) IMPORTANT NOTE: ONLY LEVEL III & IV Students Allowed

WEDNESDAY.--------(4-6 PM 3-4 year old-8th Grade Classes Level I & II)

THURSDAY--------( 4-6 PM Kinder-5th Grade Classes Level III & IV) IMPORTANT NOTE: ONLY LEVEL III & IV Students Allowed

FRIDAY---------(1:15-3:15 PM 3-4 Year Old Class)

SATURDAY--------( 9-11 AM 3-4 year old-8th Grade Classes Level I & II)

SATURDAY----------( 11:15 AM-12 PM Mommy & Me Class)

SUNDAY-------------(9:00-9:45 AM Mommy & Me Class)

9

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