MRB Absence Form
Please note: Submission of this form does not automatically excuse the absence. All absence requests must be submitted by a parent or legal guardian and will be reviewed by the Band Directors for approval.
Who is completing this form?
*
I am the parent or legal guardian
I am the student (Note: only a parent or legal guardian is allowed to submit this form)
Student Name
*
First Name
Last Name
Student ID Number
*
Midland ISD #
Instrument
*
Please Select
Drum Major
Piccolo
Flute
Oboe
Bassoon
Clarinet
Bass Clarinet
Alto Saxophone
Tenor Saxophone
Bari Saxophone
Trumpet / Cornet
French Horn / Mellophone
Trombone
Baritone / Euphonium
Tuba
Percussion
Colorguard
Type of Absence
*
Rehearsal
Performance
Rehearsal & Performance
Other
Timing of Absence
*
Already happened
Will happen in the future
How many days is the absence?
*
Start Date of Absence
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
End Date of Absence
*
/
Month
/
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Reason for Absence
*
Please be as specific as possible.
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For medical, funeral, religious, or other formally excused absences.
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of
Parent Name
*
First Name
Last Name
Parent Mobile Number
*
Format: (000) 000-0000.
Parent Email Address
*
example@example.com
Parent/Guardian Signature
*
By signing, I certify that I am the Parent or Guardian of the student named above and that all the information provided is true and correct to the best of my knowledge.
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