Read Student Absence Note text version

Student Name school O ce

last name

rst name

Grade date

received by

date received

Dear Please excuse on

M T W Th F

school admin

student's rst and last names

for being absent from school

M T W Th F

date of absence

all day | through

date of absence

Please notify

teachers and faculty to be noti ed

Illness or injury condition returning to school no current symptoms 24 hours without fever not contagious

Appointment Doctor/Dental Other Other personal or family emergency other pre-approved activity: name of doctor name of provider

My son/daughter will contact teachers to obtain appropriate make-up work if permitted. I have contacted/will contact (via email/phone) teachers to obtain appropriate make-up work.

parent/guardian/caregiver signature printed name address e-mail



Student Absence Note

1 pages

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