TMA REQUEST TO EXCUSE STUDENT ABSENCE

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We understand that there are times when a student will need to miss school. Please use this form to document the reason for your student's absence from school.

This completed form (with supporting documentation, if required) should be submitted to the Correspondence Drop Box located in the main lobby within two (2) days of your student's return to school.

Please note that all absences (excused/ unexcused) will count towards the Loss of Credit Absence Policy. Five (5) absences (excused/unexcused) in any quarter in a particular class may result in an automatic loss of credit for that quarter in that class.

Email *

Student's Name: *

Date: *

YYYY

Grade(check one): *

Absence Date(s): *

Reason for Absence: Please select only one(1) and provide the required documentation. *

Illness: (If out 1-2 days, none needed but if 3 or more days out, attach physicians note)

Medical/Dental appointment: (Attach appointment card from attending physician/dentist)

Legal appointment: (Attach court documentation or other supporting documentation)

Other: (Please explain reason for absence in the space below)

Required

Explain Other- Reason for Absence

Parent/ Guardian Signature *

Date: *

YYYY

Contact Phone Number and Email *

Please reach out to the TMA front office for additional assistance. Thank you!

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms