Absence Notification Form

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Attendance from all members is essential to maintain quality performing ensembles. Unlike classes where a student's success is based upon individual accomplishment, the band's success depends upon complete member participation.

Complete this form prior to any absence from scheduled extra-curricular events (rehearsals, concerts, festivals, and football games). All absences during school hours should be reported to the Perry HS Attendance Office.

When possible schedule important events, celebrations, appointments, and vacations while being cognizant of the band calendar and the impact it will have on both the team and individual.

The completion of the this form does not excuse an absence. It provides the Directors with a record of upcoming student attendance and the ability to plan accordingly.

3.1.4 Defined: Excused and Unexcused Absences
An absence is considered excused when one or more of the following conditions have been met; otherwise, it is unexcused.

Personal illness where attendance would endanger the health of others and a parental note is provided to the Director.
Personal injury that inhibits a member’s ability to participate and a doctor’s note is provided to the Director.
Health and Wellness Appointments unable to be alternatively scheduled with a parental note provided to the Director.
Special and/or recognized religious holidays that are discussed with the Director in advance.
Significant Family Life events including family reunions, weddings, and funerals.
Participation in School Co/Extra-Curricular Activities, School Sports, and Sanctioned School Club Events (e.g. EVIT, Volleyball, Chess, and NHS Meetings) in coordination with the Director.
Tutoring as a result of or in prevention of Academic Ineligibility.
Disciplinary action resulting in Detention, In-School Suspension, or Off-Campus Suspension.
Other specific situations with advanced Director approval.

Student Name *

Ensemble *

Absence Start Date *

Absence End Date

If longer than one day.

Classification *

Personal Illness - Parental Note Required

Personal Injury - Doctor's Note Required

Health & Wellness Appointment - Parental Note Required

Special Religious Holiday - Discussion with Director has Occurred

Significant Family Life Event - Family Reunion, Wedding, Funeral

Participation in Co/Extra-Curricular Activity, Sport, Club - In Coordination with Director

Tutoring - Campus Teacher Note Required

Administrative Disciplinary Action

Director Approval Received - DO NOT SELECT UNLESS ALREADY DISCUSSED

I recognize this absence is unexcused.

Purpose of Absence *

Briefly describe the purpose of the absence.

Early Departure / Late Arrival Information

If departing early from an event include who is picking up and at what time.
If arriving late to an event include when the student can be expected and where.

Additional approval and paperwork is required when leaving an off-campus event.
Complete this form and contact a Director for approval and coordination.

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