INLAND LAKES HIGH SCHOOL
			PERMISSION FOR LEAVE OF ABSENCE
If for any reason you plan to be absent during the school hour, this form must be
completed in advance, signed by a parent or guardian, signed by each teacher
whose class you will be absent and returned to the office for the principal's
signature and approval.
Student Name:									Grade:
Date(s) of Absence
Reason for Absence
I approve the request for leave of absence as described above.
Parent Signature								Phone #
						CLASS SCHEDULE
Hour 1							Hour 4
Hour 2							Hour 5
Hour 3							Hour 6
Approved							Denied
Principal Signature