PARENT NOTE EXCUSE FORM

PARENTNOTEEXCUSEFORM

Student’sLegalName____________________________________________________

DateofAbsence(s):_____________________________________________________

School:_______________________________________________________________

HomeroomTeacher:____________________________________________________

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Pleaseexcuse______________________________________(Student’sFullName)forbeingabsentonthedayslistedabove.

Pleasechecktheabsencereasonthatapplies.

1. ______Illnessorinjury.

2. ______Deathorseriousillnessofimmediatefamilymember.

3. ______Courtappearance.

4. ______Otherreason.

Explanation______________________________________________________________________________________________

_______________________________________________________________________________________________________

_______________________________________________________________________________________________________

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Thisexcusemu

tbereceivedwithin3daysofyourchild’sabsence.Ifanexcuseisnotreceivedinthetimerequired,theabsencewill

beconsideredunexcused.Ifyouhaveanyquestions,pleasecontacttheAttendanceClerk,attheschool.

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ParentSignature_____________________________________________

Date:______________________________________________________

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