EXCUSE FOR SCHOOL ABSENCE EXCUSE FOR SCHOOL ABSENCE

EXCUSE FOR SCHOOL ABSENCE Student Name: __________________________ Please check one of the following: Illness/Injury Death or illness in the family Religious observance Required presence in court Approved cooperative work programs Doctor’s appointment—Verification of appointment needed from doctor Impassable roads due to inclement weather Approved college visits Other (please explain) _________________________________________ ______________________________________________________________ Date of Absence(s): ______ to ______ I certify that the above named student was absent on the date(s) listed for the reason specified. _______________________________ Parent/Guardian Signature EXCUSE FOR SCHOOL ABSENCE Student Name: __________________________ Please check one of the following: Illness/Injury Death or illness in the family Religious observance Required presence in court Approved cooperative work programs Doctor’s appointment—Verification of appointment needed from doctor Impassable roads due to inclement weather Approved college visits Other (please explain) _________________________________________ ______________________________________________________________ Date of Absence(s): ______ to ______ I certify that the above named student was absent on the date(s) listed for the reason specified. _______________________________ Parent/Guardian Signature