Absence Request

Select the date(s) that your student(s) will be absent from school.*
List of Activities your child(ren) will be involved in while they are gone:*
Describe how you as a parent plan to ensure this trip is an educational experience for your child(ren)*

Parent(s) Responsibility

For Elementary students: I understand that it is my responsibility as a parent to communicate with the child’s teacher about any homework or assignments that need to be completed before, or upon the return of our absence.

For Middle & High School Students: I understand that it is my responsibility as a parent to communicate with the student's homeroom teacher about any homework or assignments that need to be completed before, or upon the return of our absence.
Parent Signature*

Clear
Should be Empty:

Parent(s) Responsibility