Educational Trip Form

Kelly Application for Excused Absence for an Educational Trip
(Non-School Sponsored)

Board Policy 204.1 Educational Trips (Not School Sponsored) (Revised September 10, 2020):

The Board strongly discourages student absence from school except when illness or other urgent reasons prevent the child from attending, however, the Board recognizes that some non-school sponsored educational trips/experiences for students may enhance and enrich the learning opportunities provided in the district's schools. Therefore, students may be allowed to be absent from school during the designated school year for such educational trips/experiences provided that the following procedure is followed in requesting and granting permission for such trips/experiences. Board policy permits up to seven cumulative days for educational trips per school year for no more than three educational trips/experiences.

*Denotes a required field

Educational Trip Form

Student Name *

Homeroom Teacher *

Grade *

Date(s) of Instructional Days to be Missed *

Date(s) of Educational Trips Approved this School Year prior to this application *

Description of Educational Activities *

How many non-parent/guardian chaperones? *

None
1
2

Other Students in the Family Participating

Electronic Signature of Parent/Guardian *

By signing this document, I acknowledge my child(ren) may be ask to self-quarantine, if the travel location is identified as a risk to health and safety, per the Department of Health guidelines. The list of states that Pennsylvania recommend a 14 day quarantine period can be found here: https://www.health.pa.gov/topics/disease/coronavirus/Pages/Travelers.aspx

Email Address *



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