Day Off Enrollment

 

 DAY OFF ENROLLMENT FORM

 

Child’s Name: ___________________________________________________________

 

School Site: _______________________________________   Program:    AM       PM

 

Please circle dates you wish your child to attend:

 

Date                                                                                                    Day Off                     

November 3, 2009                              Tuesday                                   Election Day                   

November 5, 2009                              Thursday                                 NJEA Convention     

November 6, 2009                              Friday                                      NJEA Convention      

December 28, 2009                             Monday                                   Winter Recess                

December 29, 2009                             Tuesday                                   Winter Recess            

December 30, 2009                             Wednesday                             Winter Recess                

January 18, 2010                                 Monday                                   Martin Luther King Day

February 15, 2010                               Monday                                   Presidents’ Day          

March 29, 2010                                   Monday                                   Spring Recess                 

March 30, 2010                                   Tuesday                                   Spring Recess                

March 31, 2010                                   Wednesday                             Spring Recess                

April 1, 2010                                       Thursday                                 Spring Recess                

April 5, 2010                                       Monday                                   Spring Recess                

April 6, 2010                                       Tuesday                                   Spring Recess                

April 7, 2010                                       Wednesday                             Spring Recess                

April 8, 2010                                       Thursday                                 Spring Recess                

April 9, 2010                                       Friday                                      Spring Recess                

 

NOTES:

 

 

 

 

 

 

 

 

 

 

 

Parent/Guardian Signature

 

Date

 

 

 

 

Site Director Use Only

 

Site Staff Initials:                                     Date Rec’d:                              

 

 

 

    Time Rec’d: