School Release - Absence Permit Form

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School Release - Absence Permit Form
This form is to be filled out in full and turned in to the office before the student will be allowed to leave
on a trip.
I hereby give my consent for ____________________________ to go on a school-sponsored
educational trip to ______________________________________ on __________________ .
Reason: ___________________________________________________________________
In giving my consent, I realize that the school cannot accept responsibility beyond providing adequate
planning and supervision for the welfare of the pupils and that it is also the parent's responsibility to
provide transportation for the pupil to and from school before and after this trip when necessary.
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For Student/Teacher use
_______________________________ will be absent on _______________ .
Please list the assignments that I will miss while absent on the above day.
College Visitation: ____________________________________
Class
Assignment
Teacher Signature
.
1.
2.
3.
4.
5.
6.
7.
8.
Make sure all teachers have been notified of your absence and hand the entire form in to the office.
If you need a copy of the assignments listed, one will be made for you at that time.
EOE/AA

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