Request for Excused Absence
This form must be
completed and turned in at least one week in advance of any anticipated absence
by a band/choir student. (Excluding extreme emergencies). Requests known about further than one week
in advance are expected to be turned in as far in advance as possible
(Weddings, etc.).
Student
Name __________________________________ Today’s Date __________
Date of
anticipated absence ___________________
Reason
for absence ___________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
* Please note: Be specific! I must have enough information to be
able to determine whether or not an absence may be excused. “Important
matters”, “Family reasons”, etc. do not give me an opportunity to excuse a
student.
Student’s Signature _______________________________________
Parent’s Signature ________________________________________
Date __________________________________________________
****
FILLING OUT THIS FORM DOES NOT GUARANTEE THAT THE ABSENCE
WILL BE EXCUSED. IT IS
THE RESPONSIBILITY OF THE STUDENT/PARENT TO FOLLOW UP WITH FURTHER INFORMATION
OR MAKE-UP WORK.
________EXCUSED ________UNEXCUSED
Notes:
_______________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Director’s
Signature ____________________________________ Date _________