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Advance Absence Request Form

Student’s Name: __________________________________________________

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Reason for Advance Absence Request: ____________________________________________________________

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Absence Date(s): ___________________ Departure Time: __________________ Return Time: ______________

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Fill in your class schedule below and collect signatures from teachers for any classes you will miss due to this absence..

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🙿 I understand that I must provide this permission slip to the high school office by 8 a.m. at least one school day in advance of this absence, complete with signatures from my teachers, a parent and myself, to be excused.

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🙿 I understand that I am responsible for making arrangements with my teachers in advance to make up any missed school work.

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Student Signature: ____________________________________________ Date: __________________________

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🙿 For the reason(s) listed above, my child has my permission to be absent from school for the days/time listed above.

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Parent Signature: _____________________________________________ Date: __________________________

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***********************************************************Office Use Only**********************************************************

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Date Submitted to Office: ____________________ Received by: ______________________________________