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Extended Leave 2026 - 2027
As parent/guardian, I understand and agree to the following:
Please initial #1 - 9
* Indicates required question
Email
*
Record my email address with my response
Student's name:
*
Your answer
Last date in class:
*
MM
/
DD
/
YYYY
Homeroom Teacher:
*
Your answer
Where is your student going?
*
Your answer
Reason for leave:
*
Your answer
Student will return to class on
*
MM
/
DD
/
YYYY
1) My student's absences are
unexcused
while on extended leave
*
Your answer
2) Teachers are not required to gather work/prepare for my student taking leave
*
Your answer
3) I will receive
Attendance Letters
regarding my child's unexcused absences
*
Your answer
4) My student may miss benchmark and/or EOG testing if they were absent during testing window
*
Your answer
5) I understand that absences and lack of progress toward end-of-year mastery due to absences will factor into end-of-year grade promotion/retention decisions
*
Your answer
6) My student may loose their current bus assignment due to absences
*
Your answer
7) Bus #
*
Your answer
8) 20 days/absences are equivalent to a month of instructional time. 20+ absences are considerd excessive
*
Your answer
9) If my child is absent the last 10 days of school (May 13 - May 26 ) they will be automatically withdrawn from Odell Elementary and must be re-enrolled
*
Your answer
10) I have read and agree on the term and condition. Please enter your name.
*
Your answer
A copy of your responses will be emailed to .
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