Our Lady of the
__________________________________________________________________________________________________________________
TO: Parents/Guardians
SUBJECT: Parent Request for Extended Family Trips During School
PLEASE
NOTE: IT IS THE RESPONSIBILITY OF THE STUDENT TO MAKE UP ALL WORK AFTER
RETURNING FROM THE TRIP. NO WORK IS
TO BE REQUESTED FROM A TEACHER PRIOR TO THE TRIP.
Name
of Students:
_________________________________Grade_____________________
_________________________________Grade_____________________
_________________________________Grade_____________________
_________________________________Grade_____________________
Name
of Parent__________________________________________________________
Address__________________________________Phone__________________________
Dates
of Absence from School________________________________________________
Place
or Places to be Visited__________________________________________________
________________________________________________________________________
Reason for Trip________________________________________________________________
________________________________________________________________________
****RETURN OF THIS FORM
WILL SERVE AS THE EXCUSE FOR THIS ABSENCE.
YOU WILL NOT RECEIVE VERIFICATION FROM THE SCHOOL. THIS FORM IS KEPT ON
FILE AS PROOF OF A REQUESTED ABSENCE.
I
CERTIFY THE ABOVE INFORMATION TO BE CORRECT.
____________________________ ______________________________
Signature
of Parent/Guardian Signature
of Principal
_____________________________ ______________________________
Date Date
Additional
copies of this form are available at www.ourladyoftheangels.org 8/07