Pennsbury School District Attendance Exception Request Form
Please complete this form if you are requesting an attendance exception request. Once a determination is made the parent/guardian making the request will be notified by the Student Services Department. If the attendance exception request is granted, it is the responsibility of the parent/guardian to provide transportation to/from school. 

Update: Attendance exception requests will no longer need to be renewed each school year. Exception requests that have been granted will remain in place until Student Services is contacted by the parent/guardian to request a change or until the student moves to a new school (i.e. moves from elementary to middle school). 
 
If you have any questions, please contact Joy in the Student Services Department at 215-428-4100 ext. 10021.
Sign in to Google to save your progress. Learn more
Email *
Student's Full Name *
Student Date of Birth *
MM
/
DD
/
YYYY
Student ID Number
Does your student currently receive Special Education services? *
Grade level for the 2024 - 2025 school year.  *
Required
Parent/Guardian Full Name *
Parent/Guardian Phone Number *
Student's New Address *
Student's Previous Address *
Student's Home School *
Required
Name of school you are requesting an exception for *
Required
Reason for Attendance Exception Request *
I understand that if my exception request is approved that it is the responsibility of the parent/guardian to provide transportation to/from school. Once approved this exception request will remain in place until Student Services is contacted by the parent/guardian or the student moves to a new school. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Pennsbury School District.

Does this form look suspicious? Report

Google Forms