REQUEST FOR PRE-ABSENCE EXCUSE REQUEST FOR PRE-ABSENCE EXCUSE

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REQUEST FOR PRE-ABSENCE EXCUSE Anticipated absences must receive prior approval rob we considered excused. This form must be completed and returned to the school office for approval prior to the absence. Anticipated absences include: medical appointments, family trips, funerals, work at home, and religious observances. TO BE COMPLETED BY THE PARENT: Student name: ____________________________________ Teacher: __________________________________ Date Submitted to the office: _________________________ Date(s) of absence: __________________________ Reason for absence: ___________________________________________________________________________ ____________________________________________________________________________________________ ___________________________________ Parent Signature TO BE COMPLETED BY THE BUILDING PRINCIPAL/ASSISTANT PRINCIPAL: CIRCLE ONE: Cc: Parent Classroom Teacher Pre-Ab Approved Pre-Ab Disapproved _____________________________________ Principal/Assistant Principal Signature REQUEST FOR PRE-ABSENCE EXCUSE Anticipated absences must receive prior approval rob we considered excused. This form must be completed and returned to the school office for approval prior to the absence. Anticipated absences include: medical appointments, family trips, funerals, work at home, and religious observances. TO BE COMPLETED BY THE PARENT: Student name: ____________________________________ Teacher: __________________________________ Date Submitted to the office: _________________________ Date(s) of absence: __________________________ Reason for absence: ___________________________________________________________________________ ____________________________________________________________________________________________ ___________________________________ Parent Signature TO BE COMPLETED BY THE BUILDING PRINCIPAL/ASSISTANT PRINCIPAL: CIRCLE ONE: Cc: Parent Classroom Teacher Pre-Ab Approved Pre-Ab Disapproved _____________________________________ Principal/Assistant Principal Signature 1

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