Absence Request
The Absence Request form allows families to submit a request for an excused absence for an extended period of time (1 or more days). This form is not required for traditional medical/dental appointments. Work can only be provided if this form is completed a week in advance. Please keep in mind that when a student misses class, he/she is also missing classroom instruction and discussion that cannot be made up by normal homework assignments or within the regular school day.
Note: If you have multiple children, please fill out a form for each child.
Student Name *
Your answer
Parent's Name(s) *
Your answer
Grade *
Homeroom Teacher *
Your answer
Date of Absence (start date) *
MM
/
DD
/
YYYY
Date of Absence (end date)
If absence is only one day please leave this field blank.
MM
/
DD
/
YYYY
Reason for Absence *
Your answer
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