Planned Absence Request Please complete and submit the Planned Absence Request Form no later than one week before the planned absence. Student Name* First Last 2nd Student Nameif needed First Last Date(s) of anticipated absenceFrom: MM slash DD slash YYYY To: MM slash DD slash YYYY Reason for absence*Parent/Guardian Name* First Last Parent/Guardian Email* Filling out this form does not guarantee that the absence will be excused, it is the responsibility of the student/parent to follow up with further information or make-up work.Middle School Parents: Please ensure your student collects the Planned Absence Signature Sheet from Ms. Donneli at the front desk. All required signatures must be completed, and homework assignments picked up, before the start of their break. Δ