Absence or Tardiness Excuse Form

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EXCUSE FOR ABSENCE OR TARDINESS
EXCUSE FOR ABSENCE OR TARDINESS
* tardy
___________________________________________________ was * absent
(*Cross Out One)
* tardy
___________________________________________________ was * absent
(*Cross Out One)
from School on ___________________________________________
An explanation from the parent, guardian, in each case of absence, or tardiness, is required for
admission to school. Kindly state the reason below.
from School on ___________________________________________
An explanation from the parent, guardian, in each case of absence, or tardiness, is required for
admission to school. Kindly state the reason below.
____________________ Teacher
____________________ Teacher
The reason for * absence - * tardiness was ____________
_____________________________________________________________
_____________________________________________________________
The reason for * absence - * tardiness was ____________
_____________________________________________________________
_____________________________________________________________
___________________
Date
___________________
Date
_____________________________
Signature of Parent or Guardian
_____________________________
Signature of Parent or Guardian
This excuse must be kept on file for the inspection of School Officials. Absence claimed by illness may
require a report from a physician, or examination by the School Nurse or Health Official.
This excuse must be kept on file for the inspection of School Officials. Absence claimed by illness may
require a report from a physician, or examination by the School Nurse or Health Official.
Additional copies are available at
http://www.soudertonsd.org/schools/valley/parent/index.cfm#
PLEASE CUT
------------------------------------------------------------------------------------------------------
Additional copies are available at
http://www.soudertonsd.org/schools/valley/parent/index.cfm#
PLEASE CUT
------------------------------------------------------------------------------------------------------
EXCUSE FOR ABSENCE OR TARDINESS
EXCUSE FOR ABSENCE OR TARDINESS
* tardy
___________________________________________________ was * absent
(*Cross Out One)
* tardy
___________________________________________________ was * absent
(*Cross Out One)
from School on ___________________________________________
An explanation from the parent, guardian, in each case of absence, or tardiness, is required for
admission to school. Kindly state the reason below.
from School on ___________________________________________
An explanation from the parent, guardian, in each case of absence, or tardiness, is required for
admission to school. Kindly state the reason below.
____________________ Teacher
____________________ Teacher
The reason for * absence - * tardiness was ____________
_____________________________________________________________
_____________________________________________________________
The reason for * absence - * tardiness was ____________
_____________________________________________________________
_____________________________________________________________
___________________
Date
___________________
Date
_____________________________
Signature of Parent or Guardian
_____________________________
Signature of Parent or Guardian
This excuse must be kept on file for the inspection of School Officials. Absence claimed by illness may
require a report from a physician, or examination by the School Nurse or Health Official.
This excuse must be kept on file for the inspection of School Officials. Absence claimed by illness may
require a report from a physician, or examination by the School Nurse or Health Official.
Additional copies are available at
http://www.soudertonsd.org/schools/valley/parent/index.cfm#
PLEASE CUT
Additional copies are available at
http://www.soudertonsd.org/schools/valley/parent/index.cfm#
PLEASE CUT
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