Please fix the highlighted areas below before submitting.

Jr/Sr: Short-term Prearranged Absence Form

Please complete the form below. Required fields marked *

Student's name*

Answer Required

Student's grade*

Answer Required

Date(s) of absence*

Answer Required

Time to be in office to leave

Answer Required

Time to return

Answer Required

Reason for absence*

Answer Required

In order for this absence to be excused, this form must be completed in full and turned in to the office BEFORE 8:00 AM the day of the absence. Students MUST also make arrangements with each teacher for all assignments, tests, etc. Students may be required to turn in all work BEFORE leaving.

Parent / Guardian signature*

By typing your name, you agree that it is the electronic equivalent of your signature.

Answer Required

Today's date*

Answer Required

Confirmation Email

Email Required