Absence Excuse Form
***Absences past 3 days for illness must provide a medical note***
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Student's Name *
First and Last
Student's ID Number
Section *
Parent / Guardian's Name *
Parent / Guardian's Phone Number *
Parent / Guardian's Email Address *
Date of Absence(s) *
Reason for Absence(s) *
Illness Symptoms *
Required
IF YOU HAVE ANY OF THE ABOVE SYMPTOMS PLEASE CALL THE SCHOOL NURSE AT THE NUMBER BELOW BEFORE RETURNING TO SCHOOL.
Nurse Collier (215) 400-4210 OPTION 2
Board of Education Policy 204-Student Attendance
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