(Download and Print a PDF Version of This Form)
All school work must be kept up to date. Student needs to check with their teacher to get the assignments that will
be due during the absence listed below.
Vacation Start Date:
Vacation End Date:
Destination & Reason for Trip:
Does your student ride any of the following?
Kingdom Kids bus
Kids Care bus
Boys and Girls Club bus
Inspiring Students to Shape the World
56853 Northridge DriveMiddlebury, IN 46540Phone: (574) 825-9425Fax: (574) 825-9426
Additional Phone Numbers
Wednesday, February 26, 2020