The School District of Florence County
PRE-PLANNED ABSENCE FORM
Students Name
*
First Name
Last Name
Grade
*
Please Select
4K
K
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
10th
11th
12th
Date
*
-
Month
-
Day
Year
Date
School
*
Please Select
Florence Elementary
Florence MS/HS
Phone Number
*
Please enter a valid phone number.
Reason for Absence
*
Dates of Absence
*
Adult Accompaning Student
*
AT LEAST 3 DAYS
Under the attendance policy for the School District of Florence County, only certain specified reasons qualify for excused absences. Parent/Guardian must submit a request to the principal AT LEAST 3 DAYS in advance for a planned absence. Absences not approved may result in unexcused absences and lowered student grades for the current quarter.
Parent/Guardian
This form must be submitted AT LEAST 3 DAYS in advance to qualify for an excused absence.
Subject/Period 1
Subject/Period 2
Subject/Period3
Subject/Period 4
Subject/Period 5
Subject/Period 6
Subject/Period 7
Parent/Guardian Signature
*
Submit
Should be Empty: