Bridgeway Christian Academy Family Leave Request Form printable pdf download

Bridgeway Christian Academy Family Leave Request Form

Family Leave

Request Form

Family Last Name:

_____________________________________________________

Student(s): __________________

Teacher(s): ____________________

____________________

Family Leave Date(s) Requested:

From:

/_ _/

To:

/____

Reason for Request: ______________________________________________________

Parent Signature: ___________________________________ Today’s Date: ___ / ___ /___

The following guidelines must be followed by students on family leave:

 See teacher(s) in advance of departure concerning homework and class work.

 Homework, class work, and tests must be completed and/or turned in the day

your student returns to school.

 Approved family leave days are considered excused absences, but are counted in

the absence policy.

Approval – Bridgeway Personnel

Approved by:

_______

_____

(Please print name here.)

Signature: ____________________________________

Date:

/____

4755 Kimball Bridge Rd., Alpharetta, GA 30005 | phone: 770.751.1972 | fax: 678.942.1159

Bridgeway Christian Academy Family Leave Request Form