Boyertown Elementary Absence Excuse Form

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Good attendance is critical for student success in the Boyertown Area School District.

When a student must miss school, a written excuse signed by a parent/guardian must be presented to the front office within three days after the student returns after an absence. A written excuse is defined as a handwritten note, electronic communication/email or absence excuse form submitted at the school's website. The reason for an absence determines if absence is excused or unexcused. All other absences are coded as unlawful.

Student Name: *

Homeroom Teacher Name: *

First Day of Absence: *

YYYY

Last Day of Absence: *

YYYY

Reason for Absence: *

Please contact your child's teacher(s) for missed assignments and homework.

Parent/Guardian Name: *

Date:

YYYY

Parent/Guardian Contact Number: *

Parent/Guardian Email Address: *

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