Pre-Planned Excused Family Vacation

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Pre-Planned Excused Family Vacation (Make-up Work Required) _____________________________ ________________ (Student name) (Grade) ___________________________ (Vacation dates) Pre-planned Excused Family Vacation Procedures (Make-up Work Required) 1. 2. 3. 4. Request for vacation must include a note, email or fax from the parent Vacation must be with parents or family members Request must be made five school days in advance of the planned family vacation During the current semester the student must not have been suspended, must be passing all classes, not be in danger of failing due to poor attendance 5. Student must contact all teachers and make arrangements for missed work and make- up plans Prior to the activity, the student is responsible for informing all teachers of his/her preplanned family vacation. The student is responsible for scheduling make-up work. The teacher will schedule make-up either before or after the dates that the students will miss. The student will receive a zero for failure to make up any work that is scheduled. Period Teacher Signature Date for make up Work to be completed ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ ________________________ Comments or Class Effort ______ ______ ______ ______ ______ ______ ______ ______ ______ ______ 0 period 1st period 2nd period 3rd period 4th period 5th period 6th period 7th period 8th period 9th period _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ ______________________ Student Signature Parent Signature ______________________________________ ______________________________________ Date _____________ Date _____________ Date _____________ Administrator’s Signature _________________________________ NOTE - This form must be completed and returned to the attendance office before the Preplanned Family Vacation to be considered an excused absence

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