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_____/_____/_____
Date
Our family has planned an educational trip that will mean my child will be absent from school. In order for the absence to be excused, I understand that the following conditions must be met:
1) The student must make up all missed work. The teacher is not expected to provide assignments in advance of the trip, but will provide an appropriate deadline for the missed work to be turned in. The student will complete this work in a timely manner.
2) Upon return, the student must present a report to the class. This report may be oral or written, and may include photographs, souvenirs, a journal of events, power point presentation, etc., highlighting the places of interest which were visited.
3) Upon return, the student should be prepared to discuss his/her travel journal with the principal.
Student’s name ___________________________________________________________________________________ Teacher _____________________________
Trip Date(s) _____/_____/_____ to _____/_____/_____
Destination (itinerary/schedule and summary attached) __________________________________________________________________________________________
__________________________________________________________________________ __________________________________________________________
Parent Signature Principal approval signature and date
Post Trip Follow-Up (this portion of the form to be completed by the teacher and principal)
____YES ____NO Student has made up all missed work.
____YES ____NO Student has made a presentation to the class.
____YES ____NO Student has discussed his/her travel journal with the principal.
_______________________________________ ______________________________
Teacher’s signature and date Principal’s initials and date