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Excused Absence Request
Submission of this form is a request for an absence, not a free pass. Please fill it out completely, and at least one week in advance of the requested date. Mr. Janosa will communicate approval via your student email.
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* Indicates required question
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student ID Number
*
Your answer
Student Email Address
*
Your answer
Proposed Absence Date
*
MM
/
DD
/
YYYY
Which ensemble are you requesting an excused absence from?
*
Concert Band
Marching Band
Jazz Band
Percussion Ensemble
What event are you requesting an absence from?
*
Sectional
Rehearsal
Dress Rehearsal
Performance
Please explain the nature of your request/why it is necessary
*
Your answer
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