Student Absence Form

Absence Excuse Form

  

 

Student's Name: 

Date of Absence (first day of absence): 

Additional Date(s) of Absence (an electronic absence form will NOT BE ACCEPTED for any student accumulating ten or more total absences or more than three consecutive days. A physican's note MUST be submitted to the school for these absences.):

             

Reason for the Absence:

             

Parent/Guardian email address - Please provide a valid email address in order to use this electronic form. Excuse form submissions will NOT BE ACCEPTED from a student email account.

             

Parent/Guardian Signature - By entering my name in the box below, I attest that I am the parent/guardian of the above-named student.

     Electronic Signature:       Date: 



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