Vacation Request Form
Today's Date: *
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DD
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The following child is requesting a vacation: *
Your answer
The vacation will start on the date: *
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DD
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YYYY
The vacation will end on the date: *
MM
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DD
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YYYY
The vacation is a *
For Summer Vacation Only: The child has not taken any school year vacation, please apply vacation coupon.
I have read and agreed with the Lighthouse Montessori School Vacation Policy on 2019-2020 Parent Handbook Page 7. *
Name of parent or legal guardian who completed this form: *
Your answer
Relationship with the child: *
Submit
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