Discretionary Absence Homework Assignment Log - Grades 7-12

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Christian Heritage Academy
DISCRETIONARY ABSENCE HOMEWORK ASSIGNMENT LOG
Grades 7-12
Student Name:
Grade:
1) Student/Parent should submit a Student Vacation Release Form to Miss Joan Okamoto, Principal of Preschool-Grade 12. Once this
form is signed, please contact teachers regarding homework.
2) At least 10 days before leaving school for an extended time (more than 3 days), students in Grades 7-12 must ask EACH teacher to
sign this form marking how homework will be given and made up during this discretionary absence. Please refer to the CHA Parent-
Student Handbook for attendance, grading and academic policies.
Teacher's Signature -
Teacher's Signature -
(Please contact EACH teacher,
(Please contact EACH teacher,
including PE, Music, Art &
including PE, Music, Art &
Learning Center)
Learning Center)
Please be sure to contact any coaches, band, choir, play directors, etc. and let them know of your absence. Thanks for taking
responsibility for this.

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