School Absence Note

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School Absence Note

Please explain why your student was absent from school so that we may enter the appropriate absence code.

Note: The school must receive this completed form and any required documentation within 3 school days of your child's return to school.

Student First Name: *

Student Last Name:
*

Campus
*

Current Grade Level:
*

Absence Beginning Date:
*

YYYY

Return to School Date:
*

YYYY

My child was absent because of:
*

Illness (Have Doctor's Note)

Illness (No Doctor's Note)

Partial Day Healthcare Appointment (Student will attend part of the school day) *Documentation Required

Healthcare Appointment (student will not attend school) *Documentation Required

Emergency in Immediate Family (Verified but not Excused unless approved by Campus Principal)

Funeral of Immediate Family Member *Documentation Required

Official Court Appearance Required *Documentation Required

College Visit (11th or 12th grade only) *Documentation of Attendance from College Required

Religious Holy Day *Parent Note Required

Vacation/Wedding/Graduation etc. (Verified but not excused)

Department of Motor Vehicle (DMV) *Documentation Required

Workplace Visit (11th or 12th grades only) *Documentation on Business Letterhead or Attendance Required

Other:

If OTHER please explain:

Parent / Guardian Email Address:
*

Today's Date *

YYYY

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