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Meadows Vacation Form
This form is to be completed by the parent or guardian, when a student will be absent from Novi Meadows Elementary School for more than 10 days. A separate form must be completed for each student.
Only the email you enter is part of your response.
*Required
Email *
Students Last Name *
Students First Name *
Current Grade *
Date of Birth *
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DD
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YYYY
Last Day *
Enter student's last day of attendance.
MM
/
DD
/
YYYY
Expected date of return. *
Enter the date you expect to return.
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/
DD
/
YYYY
The reason you will be out *
Special Education *
Is this student receiving Special Education Services?
English Language Development *
Is this student receiving English Language Development Services?
Section 504 *
Does this student have a Section 504 Plan?
A copy of your responses will be emailed to .
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