Request For Excused Absence
1. Read the form thoroughly and complete all information requested.

2. Please fill out the form 2 weeks prior to the requested absence.

3. The school will notify your family whether the request has been approved as an excused or unexcused absence.

Note: Even if today's date is less than 2 weeks before the absence, please complete the form; it is very helpful in planning for your child.
Student Name: *
Grade: *
Required
Todays Date: *
MM
/
DD
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YYYY
Your email address: *
First Day of Absence: *
MM
/
DD
/
YYYY
Date your child will return to class: *
MM
/
DD
/
YYYY
Check circumstances that apply: Unexcused Absences:
Excused Absences:
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