2020-21 Prearranged Absence Request Form
The completed form is due in the office at least THREE school days before the absence.  Please be aware of Washington’s compulsory attendance law and Vashon Island School District’s policy regarding unexcused and excessive excused absences.
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Student Full Name *
Grade *
Teacher *
First date student will be absent *
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Last date student will be absent *
If only a one day absence, list the same date as first date of absence.  Must be consecutive days, complete a separate form for other absences.
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Reason for absence *
Acknowledging school policies.
By checking the boxes below, you are indicating your awareness and acceptance of school policy regarding attendance.
Classroom Impact *
All absences impact a child's learning as they miss instruction that cannot be duplicated.  Checking below indicates your understanding of this and that grades may also be impacted.
Required
Homework *
School policy found in our Student Handbook states that homework is not given out in advance of an absence, but can be requested upon student’s return.   Individual teachers may be willing to make other arrangements.
Required
Excusing an Absence *
Administration will determine whether or not this absence will be excused.
Required
Submitted By *
Please enter full name.
Email Notification
Enter your email address below to receive an email confirmation that this has been received by our office for processing.
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