Absence Request 2018-19

Request for Student Absence 2022-23

Arts Academy Elementary Charter School
This form may be used to EXCUSE an absence or, it may be used to REQUEST APPROVAL for a future absence. A separate form must be completed for EACH absence, unless they are consecutive and for the same reason.

Example:
"My child was absent for 2 days due to illness." This may be submitted on ONE form.
"My child was absent Monday due to illness and Thursday for a college visit." This requires TWO forms.
Today's Date

MonthDayYear
Date
Parent or Guardian Name*

First NameLast Name
E-mail*
An email confirmation will be sent to this address.
Student Name*

First NameLast Name
Student's Grade*
Excuse notes (or this form) must be submitted within 3 school days of the child's return to school from an absence. If you have a doctor's note, it can be sent in with your child, or attached below from your computer or mobile device. Requests for educational trips must be submitted 10 school days prior to trip. You will receive an e-mail indicating if your request has been approved.
Type of Absence:*
1st Date of Absence*

MonthDayYear
I am requesting multiple days.
2nd or Last Date of Absence (for consecutive days)

MonthDayYear
3rd Date of Absence

MonthDayYear
4th Date of Absence

MonthDayYear
5th Date of Absence: if you need additional days, please fill out a new form.

MonthDayYear
Doctor's Note or Other Documentation, if applicable.
Comment (explain reason for absence if above list did not apply)
It appears as though this excuse is for an absence that was more than 3 days after your child's return to school. Please confirm your child's return to school date or, this absence will remain as UNEXCUSED.
Should be Empty:

Request for Student Absence 2022-23