LAKE SHORE HIGH SCHOOL

22980 Thirteen Mile Road St. Clair Shores, MI 48082

586.285.8900 fax 586.285.8904
www.lakeshoreschools.org


ATTENDANCE RIGHTS FOR EIGHTEEN (18) YEAR OLDS
I,______________________________, wish to assert my rights as an 18 year-
(Print Student Name)
old and will be calling myself in to the attendance phone line for verification of my absences
and tardies, as well as out-slips.
A copy of this completed form will be sent to my parent/guardian for signature, and the signed
form must be returned prior to verifying my own absences, tardies, or outslips.
This signed form will be kept on file as a permanent record.
___________________________________ Date ____________________
(Students Signature)
____________________________________ Date ____________________
(Parent/Guardian Signature)


This form must be notarized:
On this _____day of _________________________, before me, the subscriber a Notary
Public acting in the County of __________________, personally appeared who being by
me duly sworn did say that the instrument was signed in behalf of them and they
acknowledged said instrument to be their free act and deed.
________________________________________________
Notary Public, State of Michigan
County of ________________________ My Commission Expired ___________________
Lake Shore High School Mission:
To ensure the lifelong academic, social, and career development
of all students in becoming responsible and valued citizens