Mukwonago Area Schools Planned Absence Form (Secondary) - Park View Middle School - Wisconsin

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PARK VIEW MIDDLE SCHOOL
MUKWONAGO AREA SCHOOLS PLANNED ABSENCE FORM
Secondary
Reference: School Board Policy JBAC—Student Attendance Policy & Rules
To be completed prior to absence. Please print.
STUDENT’S NAME: _______________________________________________ STUDENT ID#: _______________
GRADE LEVEL:
07
08
PARENT OR GUARDIAN NAME:
DESCRIPTION OF ABSENCE:
DATE(S) REQUESTED TO BE ABSENT:
THRU
NUMBER OF SCHOOL DAYS TO BE MISSED: __________
** PLEASE PRINT AND SIGN **
PARENT SIGNATURE: ______________________________________________ DATE: _____________________
STUDENTS: PLEASE HAVE ALL TEACHERS SIGN BELOW BEORE RETURNING TO THE OFFICE FOR
FINAL APPROVAL FROM THE PRINCIPAL. THIS MUST BE RETURNED TO THE OFFICE PRIOR TO
YOUR PLANNED ABSENCE.
Period 0
Assignment (s)
Period 1
Assignment (s)
Period 2
Assignment (s)
Period 3
Assignment (s)
Period 4abc
Assignment (s)
Period 5
Assignment (s)
Period 6
Assignment (s)
Period 7
Assignment (s)
PRINCIPAL SIGNATURE: _______________________________________________________________
When at all possible, family trips should be planned so as not to interfere with a student’s school attendance and
education. If this cannot be arranged and students must be absent from school for the purpose of a family trip, a student
will only be excused for a maximum of ten (10) days per school year. (School Board Policy JBAC)

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