Excused Absence Request
Student Name *
Your answer
Leave date(s) *
Your answer
Type of Absence *
What will you miss? *
Select all that apply.
Required
Reason for Absence *
Briefly state why this absence is necessary.
Your answer
Request to be Excused *
You can request this absence be Excused (counts toward your 4 Excused Absences), or Unexcused (Penalties apply)
Parent/Guardian Verification *
Your Parent/Guardian must review or submit this request. Please include parent name. e-mail address and a phone number for the parent for verification. (Will only contact if necessary.)
Your answer
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