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Reccomendation: Copy and Paste this form into a word processing program (Word, Works, etc.) and print from there.

 

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 _________

 






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