Family Leave Request Form
The following guidelines must be followed by students on family leave. Submitting this form means that you agree to the following:
1. See teacher(s) in advance of departure concerning homework and class work
2. Homework, class work, and test MUST be completed and/or turned in the day your student returns to school
3. Approved family leave days are considered excused absences, but are counted in the absence policy
Family Name *
Your answer
Student(s) Name and Grade *
Your answer
Family Leave Date(s) Requested *
Your answer
Reason for the Request *
Your answer
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