Excused Absence Request Form

To be used for absences outside of the regular school day.
To be turned in at least 2 weeks in advance.

Student Name*
First Last
Parent/Guardian Email
Class Period
REQUESTED ABSENCE FOR (select one):
- Rehearsal/Practice
- Performance
DATES OF REQUESTED ABSENCE:*
DATE OF SUBMISSION:*
DETAILED REASON FOR ABSENCE:*
(NOTE: “Family event” is not detailed! Requested absences cannot be approved unless the nature of the absence is descriptive and defendable.)
STUDENT SIGNATURE:*
PARENT/GUARDIAN SIGNATURE:*