Absence and Makeup Lesson Request Form

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Your private lesson time is prearranged and especially reserved for you. It is extremely hard to change during the school year. If for any unforeseen reasons that a student cannot make to the lesson due to illness, conflicting activities, vacation, extreme weather, family emergency etc. , an absent and makeup request
form must be submitted as soon as possible, preferably 48 hrs prior to the lesson. If the absence notification is not received 4 hours prior to the start of the lesson, makeup lesson will not be arranged.

Due to Dr. Laura’s full teaching schedule, maximum of 5 makeup requests will be considered for each family
within a school year. Makeup lessons are not guaranteed, it will only be arranged when there
is a mutual available time. It would be greatly appreciated to notify your absence early so
that others who need the makeup time have a chance to sign up and fill in the vacant time.

In case of siblings, only fill out this request if no one is available to come to the reserved lesson time.

There will be no refunds given to missed lessons expect in the case when teacher cancels the lesson and makeup lesson can not be arranged. Cancellation due to teacher's unavailability will NOT count towards the 5 makeup limit per family per each school year.

Thank you for your cooperation ! Sincerely, Dr. Laura

Email *

Student(s) Name (First & Last Name) *

Parent Name and Contacting Cell number *

Date of absence *

Please indicate by selecting your absence date, one form for each missed lesson date.

YYYY

Time of absence, lesson starting time *

Enter the starting time of your lesson.

Time

Time of absence, lesson ending time *

Enter the ending time of your lesson.

Time

Reasons for this Absence *

Please provide a reason for your absence. If it's a cancellation due to teacher's unavailability please put that down as the reason. Teacher's cancellation will NOT count as part of the 5 makeup limit for each school year.

A copy of your responses will be emailed to the address you provided.

Submit

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