Purple Army Absence Request Form
Parents/guardians only: Complete the form below to request an absence from a performance or rehearsal.

You will be emailed a response to your request.


Absence from rehearsals/performances

The Jackson Band Staff works diligently to make sure that students are able to participate in many activities during their time in high school. We must be notified of any schedule conflicts as far in advance as possible so that we may work to find a resolution.


Unexcused absence from a rehearsal or performance will result in lowered grade in that area and may result in change in performance status (change in chair placement, change in ensemble, change in performance eligibility). No make-up assignments are given for unexcused absences.


Excused absence from a performance will result in a make-up assignment being given to the student. A director must be notified as soon as possible. Examples of excused absences are: severe illness, death in the family, participation in a school event that has been excused by the band directors in advance.

Parents should not bring students to rehearsal if the student has a fever of 100° F or higher or they are experiencing symptoms of COVID-19 such as:
Cough
Shortness of breath or difficulty breathing
Or at least two of the following:
Chills or shaking
Muscle pain
Headache
Sore throat
New loss of taste or smell
Diarrhea
Congestion or runny nose
Nausea or vomiting
Email address *
Notes *
Please enter a brief explanation you feel is relevant to the directors' determination of whether your absence is excused or unexcused.
End Date of Potential Absence
Only needed if multi-day absence for the same reason. For example: traveling for family wedding from 7-10-19 to 7-15-19
MM
/
DD
/
YYYY
Student Full Name *
Event Missed: *
Select all that apply. Performance absence will likely require makeup assignment.
Required
Parent Full Name *
Type of Absence *
Work is not an excused absence. If other, please explain circumstances.
Parent Phone Number *
Date of Potential Absence *
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Jackson Local School District. Report Abuse