Absence Excuse Form-1

Souderton Charter School Collaborative Excuse for Absence or Tardiness (Child’s name:)__________________________________ was (circle one:) tardy/absent from school on Date: ____________________ Time (for tardy): ___________ An explanation from the parent/guardian in each case of absence or tardiness is required for admission to school. Please state the reason below: _____________________________________________ _____________________________________________ ___________________________ Signature Souderton Charter School Collaborative Excuse for Absence or Tardiness (Child’s name:)__________________________________ was (circle one:) tardy/absent from school on Date: ____________________ Time (for tardy): ___________ An explanation from the parent/guardian in each case of absence or tardiness is required for admission to school. Please state the reason below: _____________________________________________ _____________________________________________ ___________________________ Signature ________________ Date ________________ Date Absence claimed by illness may require a report from a physician or examination by the school nurse. Absence claimed by illness may require a report from a physician or examination by the school nurse. Souderton Charter School Collaborative Excuse for Absence or Tardiness (Child’s name:)__________________________________ was (circle one:) tardy/absent from school on Date: ____________________ Time (for tardy): ___________ An explanation from the parent/guardian in each case of absence or tardiness is required for admission to school. Please state the reason below: _____________________________________________ _____________________________________________ ___________________________ Signature Souderton Charter School Collaborative Excuse for Absence or Tardiness (Child’s name:)__________________________________ was (circle one:) tardy/absent from school on Date: ____________________ Time (for tardy): ___________ An explanation from the parent/guardian in each case of absence or tardiness is required for admission to school. Please state the reason below: _____________________________________________ _____________________________________________ ___________________________ Signature ________________ Date ________________ Date Absence claimed by illness may require a report from a physician or examination by the school nurse. Absence claimed by illness may require a report from a physician or examination by the school nurse.