491 Saratoga Road Scotia, NY 12302
518 399-5850
toshdaycare@gmail.com
VACATION REQUEST FORM
Child’s N ame___________________________________
Dates o f v acation w eek____________________________
Parent’s S ignature________________________________
**Vacation w eek p olicy: E ach c hild i s g iven 1 v acation w eek a y ear. T he c hild
does n ot a ttend s chool f or t heir s cheduled w eek a nd t uition i s n ot o wed f or t hat w eek.
_____________________________________________________________________
OFFICE U SE
__________APPROVED
_ _________NOT A PPROVED
REASON N OT A PPROVED_______________________________________________
DIRECTOR’S S IGNATURE_______________________________________________