Summer Leave of Absence Form

To request a leave of absence, please complete the form below. All fields are required for approval. Once submitted and approved, your lessons will be paused for up to 4 weeks with your lesson time secured. Please note that only one approval is allowed per summer (June-August).

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Student Name
Example: 6/17-7/2
Number of Weeks of Absence
For absences of more than 4 weeks, your lesson time is forfeited. Please complete the withdrawal form instead.