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Request for Student Absence Form

Parent or Guardian Notification  (**Please read carefully before completing this form**).

As stated in the Student/Parent Handbook, “Parents who wish to take their student(s) out of school for more than two (2) days must complete a “Request for Student Absence” form at least seven (7) days prior to the scheduled absence. Before leaving, students are responsible to complete all class work which will be assigned during the days of their absence unless teachers have stated otherwise. Such special arrangements must be documented. It is to be understood that the days of absence are unexcused and are charged against the maximum ten (10) days for the semester. Such absences do not obligate the teacher to provide makeup tests or quizzes, nor to accept any overdue reports or assigned work.  

This form will now be completely electronic. Once you have answered the questions below, you will receive an email (via the email address you provide below) with a document attached. You will need to access this document in a few days to see if the principal has approved the request.

Complete one form for each student.

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Student's Name *
One name per form.
Grade: *
Date(s) of absence requested *
Example:    xx/xx/xxxx to xx/xx/xxxx
Reason for absence request *
Parent/Guardian email address *
A form will be emailed to you. Please refer to the form in a few days to see if the principal approved the request.
Signature of Parent *
"By signing this form electronically, the undersigned confirms their intent to be bound by the terms and conditions set forth herein, and that this electronic signature is the legal equivalent of a handwritten signature." 
Signature of Student *
"By typing your name below, you are acknowledging that you are signing this document electronically as though you are placing an ink pen to a document and signing your name." If you are signing this as a parent, you are acknowledging that you have explained the statements listed at the top of this form to your student.
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