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CCA Student Request for Leave of Absence
ALL vacations and leaves must be submitted two weeks in advance with final approval from the Principal.
Family's Last Name:
*
E-mail address:
*
Date(s) to be absent:
*
Student(s) Name and Grade Level:
*
Reason for leave:
*
Sick/Medical
Bereavement
Vacation
Other
Explain:
*
Parent signature:
*
clear
Date:
*
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