REPORT A STUDENT'S ABSENCE/LATENESS/EARLY RELEASE

Excuse for Absence/Lateness/Early Release

EXCUSE FOR ABSENCE, LATENESS OR EARLY DISMISSAL

Please fill in the information requested below.  An explanation from a student's parent/guardian for each absence/lateness/early release is required by Pennsylvania law. --Thank you


Student's Last Name:   First Name:  Grade: 

Attendance Event:  

Date of Event:   (mm/dd/20xx)

Reason for Absence/Lateness/Early Release*:

Education Travel events cannot be reported here, as they require pre-approval by administration.  Educational Travel Form.

*If EARLY RELEASE:

Time of Pick up:  

Name of the person picking up student Please be sure that person brings along his or her driver's license for identification. 


Your First & Last Name:  **

Your Phone Number: 

Your Email Address:  

**By submitting your name on this form, you are affirming that you are the parent/legal guardian of the listed student and that all information listed above is accurate and truthful.



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