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LVR EXTRA-CURRICULAR / CURRICULAR TRAVEL FORM

 

Student Name:  _________________   ____________________

                                     first                                   last

Dates of Travel: _____________________________________________________

 

Reason for Travel: ___________________________________________________

 

Block missed

Catch up plan

Due dates

Teacher    Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

It is the student’s responsibility to inform the teacher of the absence at least 24 hrs before departure, and come up with a catch up plan.

Failure to complete the work as determined by the teacher may result in no credit for the work missed.

 

Name of Teacher/ Coach/ Sponsor :_________________________________