Student Absence Excuse

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Important: A parent/guardian must submit a valid excuse note within five days of a student's return to school for the absence to be deemed excused.

Name of Scholar *

Return to School Date *

YYYY

Grade Level *

My scholar was (check one) absent or tardy on the dates below. *

List consecutive absent/tardy dates. (Example format 8/31/2020). A separate form must be used for non-consecutive attendance dates.

date 1 *

YYYY

date 2 (if applicable)

YYYY

date 3 (if applicable)

YYYY

date 4 (if applicable)

YYYY

date 5 (if applicable)

YYYY

List all additional dates:

Select the reason your scholar was absent/tardy from school and provide additional documentation (*) if required below. *

Explain extenuating circumstance reason here: *

What is your phone number? (numbers only, no dashes)

What is your email? *

What is your name? (first/last) *

Check here to confirm you are the child's parent or guardian: *

I am this scholar's parent or guardian listed above.

Required

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This form was created inside of Friendship Public Charter Schools.