Pre-approved Absence 23-24

Please complete all the information below. If Student Services has any questions, a staff member will contact the student's parent/guardian for clarification. Thank you.

Student Name
Student Number (6 digit number)
Parent/Guardian Name
Grade Level:

Grade Level: 9 10 11 12
Date of Absence Date of Absence / MM / DD YYYY
Date of Absence (fill this out only if you are reporting more than one day). Date of Absence (fill this out only if you are reporting more than one day). / MM / DD YYYY
Date of Absence (fill out if you are reporting more than one day). Date of Absence (fill out if you are reporting more than one day). / MM / DD YYYY
Date of Absence (fill out if you are reporting more than one day). Date of Absence (fill out if you are reporting more than one day). / MM / DD YYYY
Date of Absence (fill out if you are reporting more than one day). Date of Absence (fill out if you are reporting more than one day). / MM / DD YYYY
Parent/Guardian Phone Number
Parent/Guardian Email
Reason for Absence(s):

Reason for Absence(s): Post-Secondary/Institution of Higher Learning Campus Visit Religious instruction, conference, institutes, etc. Other (Provide additional information below)
Pre-Approved Absences does not remove or absolve students from testing, that is beyond our control.
Note: Fraudulently filling out this form will result in a Level 2 Referral for Lying to a Staff Member. This may result in out of school suspension and loss of privileges (parking, attendance at extra-curricular events, etc...).

Pre-Approved Absences does not remove or absolve students from testing, that is beyond our control.
Note: Fraudulently filling out this form will result in a Level 2 Referral for Lying to a Staff Member. This may result in out of school suspension and loss of privileges (parking, attendance at extra-curricular events, etc...). I understand
Please upload a doctor's note or parent's note to accompany the request.

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Additional information