Vacation Request Form
Vacation requests forms can be submitted at ANY time and will result as a credit on your account. Please allow 5-7 business days for the credit to be processed.

For Example: If you submit a vacation request on Thursday, the credit will be applied to your account no later than the following Friday. MAX 7 business days = Thursday you submitted Friday + Monday + Tuesday + Wednesday + Thursday + Friday.

Email address *
Child's Name: *
For multiple children: Please indicate each child's first and last name separated by a comma
Your answer
Child's ACES Site: *
School Year Vacation Credits
Consistent Care Before School
5 days/week = 5
4 days/week = 4
3 days/week = 3

Consistent Care After School
5 days/week = 5
4 days/week = 4
3 days/week = 3

Pick Your Days Before School = 2
Pick Your Days After School = 2

1st Vacation Date Requested: *
MM
/
DD
/
YYYY
1st Vacation Care Session: *
For each vacation date, please indicate whether your child will be gone for before school ACES, after school ACES, or both.
2nd Vacation Date Requested:
MM
/
DD
/
YYYY
2nd Vacation Care Session:
Please indicate whether your child will be gone for before school ACES, after school ACES, or both.
3rd Vacation Date Requested:
MM
/
DD
/
YYYY
3rd Vacation Care Session:
Please indicate whether your child will be gone for before school ACES, after school ACES, or both.
4th Vacation Date Requested:
MM
/
DD
/
YYYY
4th Vacation Care Session:
Please indicate whether your child will be gone for before school ACES, after school ACES, or both.
5th Vacation Date Requested:
MM
/
DD
/
YYYY
5th Vacation Care Session:
Please indicate whether your child will be gone for before school ACES, after school ACES, or both.
Additional Comments:
Your answer
Parent/Guardian Signature *
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of isd77.k12.mn.us. Report Abuse - Terms of Service