Prearranged Absence Form
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1Delmarva Christian High School
Pre-Arranged Absence
Parents are encouraged to make every effort to schedule activities at times that do not interfere
with instructional time. However, if the absence is unavoidable, the following must be followed:
1.
A parent/guardian must contact the school to verify the request.
2.
The parent/guardian and all of the student’s teachers must sign the form.
3.
Students assume full responsibility for all missed class assignments. Days missed will
be recorded as excused absences counting toward the 7-day absence policy. All
assignments given to the students during the pre-arranged absence are due on the day
designated by his/her teachers. The time and place of any make-up sessions shall be
established at the initiative of the student and at the convenience of the teacher.
Assignments not completed on time will not be awarded credit.
Student Name: _________________________________________________________________
Dates of Absence: From _______________________ To _______________________
Destination: ___________________________________________________________________
Purpose of Absence: ____________________________________________________________
Parent/Guardian Signature: _____________________________________ Date: _____________
Period
Subject
Teacher Approval
Assignments
1
2
3
4
Principal's Signature: _________________________________________ Date: ______________
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