Request to be Absent Form

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Attendance has a direct effect on your ability to participate in our group, as well as your grade.

Please submit this form at least TWO WEEKS prior to your date of absence. If this is not possible due to illness or emergency, please contact Mr. Rearick via Remind or email and then submit this form within 2 days of your return. Forms not submitted within this time frame will be considered unexcused.

You will receive a prompt response as to whether this request has been accepted as excused or unexcused.

Email *

Student Name: *

I request to be... *

Absent

Tardy

Dismissed Early

For the following events (please list event and date/time): *

For the following reason: *

Check below for acknowledgement of this request: *

Student

Parent/Guardian

Required

A copy of your responses will be emailed to the address you provided.

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