22-23 FCSD Elementary Attendance Excuse Form
Parent/Guardian--Please use this form to complete an excuse for your child's absence.  An excuse must be submitted within five school days of your child's return to school.  If a legal excuse is not submitted, the absence will be considered unlawful and noted as unexcused.  If you have a doctor's excuse please send that to school with your child, fax it to 724-356-2770, or email a copy to Tami Goddard at tgoddard@fortcherry.org. 
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Parent Email *
Grade Level *
Last Name of the Student *
First Name of the Student *
Date of Absence *
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Amount of Time (*Office Personnel will calculate time to denote late/early released compared to half-day) * *
Reason for Absence *
I understand that after ten (10) total days of absence for any reason, medical documentation will be required for any absence to be considered excused. *
I affirm I am the Parent or Legal Guardian of the above child and attest that I am completing this form as such. (Please type your full legal name as your signature.) *
If at any time, it is declared that the parent/legal guardian of the said child has not completed this form, official truancy, forgery, and/or fraud may be filed with the appropriate County Agencies.
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