Educational Leave Requests
All boxes are required. If you have multiple children going on the trip, this form must be filled out separately for each child. This form applies only to students at Smith Middle School.
Your Name *
Your answer
Your email address *
Approval or denial emails will be sent to this address
Your answer
Your child's first and last name *
As it appears in PowerSchool. If you have more than one child at Smith, you must submit separate requests.
Your answer
Trip start *
What is the first school day your child will miss?
MM
/
DD
/
YYYY
Return Date *
On what day will you child return to school?
MM
/
DD
/
YYYY
Number of Days Missed *
Trip destination *
Where are you going
Your answer
Reasoning *
What is the educational value of your trip?
Your answer
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