Arranged Student Absence Request

Arranged Student Absence Request

South Texas Christian Academy 2019-2020
NOTE: Please complete this form prior to any request to miss classes except for emergency sickness, doctors appointments, death in the family. Remember to complete the form well in advance so adeauate arranaments with teachers can be made.
Student Name *

First NameLast Name
Grade Level*
Today's Date*

MonthDayYear
Date
I am requesting that my child(ren)be absent from their schueduled classes on the following dates and times
Beginning
Date*

MonthDayYear
DateHourMinutesAM/PM Option
Returning
Date*

MonthDayYear
DateHourMinutesAM/PM Option
Reason for request (please describe why your child(ren) need to miss classes)*
Date*

MonthDayYear
Date
Parent Email*
example@example.com
Parent/Guardian Digital Signature *
Please type your full name:
AGREEMENT: By signing this Electronic Signature Acknowledgment Form, I agree that my electronic signature is the legally binding equivalent to my handwritten signature. Whenever I execute an electronic signature, it has the same validity and meaning as my handwritten signature. I will not, at any time in the future, repudiate the meaning of my electronic signature or claim that my electronic signature is not legally binding.*

I Agree
Should be Empty:

Beginning