Absence Request
This form must be completed before the absence occurs.

PROCEDURE:
1) Parent/Guardian will complete Sections 1 & 2.
2) The Principal will complete Section 3.
3) The child's homeroom teacher or the Middle School Supervisor will sign/approve the request.
4) The parent will receive confirmation of the approval or will be contacted as necessary.
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Email *
Student's Name *
Parent/Guardian's Name *
Date(s) to be Absent *
How many days? *
Reason: *
Additional comments:
Homeroom Teacher *
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