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PFS Attendance Excuse Form
Use this form to notify the Attendance Clerk about absences, tardiness, or early dismissals.
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* Indicates required question
Email
*
Your email
Student's Name
*
Your answer
Short Day, a One day Absence, or Multiple Days
*
Short day (late arrival/early departure)
One Day Absence
Multiple Day Absence
Date of Absence/Short Day
*
MM
/
DD
/
YYYY
Absence/Short Day continues until?
How many days will they be Absent or have short days until?
MM
/
DD
/
YYYY
Reason for Absence/Short Day
*
Illness
Medical/Dental Appt
Mental Health
Family Emergency
Educational Travel
Required
Additional details
( you can send Notes, Emails and other documentation for Absence/Short days to Office@phillyfreeschool.org )
Your answer
Parent/Guardian Electronic Signature
*
Your answer
Send me a copy of my responses.
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