Saint Michael School Official Excuse Form

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Saint Michael School
Official Excuse Form
Student Name:______________________________________ Grade: ____________
Date(s) Absent:___________________________ Date Returning to School:________________
Exact Reason for Absence:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Parent Signature: __________________________________ Date:________________________
Note: Illness, quarantine, and death of immediate family are the only excuses accepted by
the state. This excuse must be submitted within three school days following the absence, or
the absence will be “unexcused.” A doctor’s excuse must be submitted with this form for
absence of three or more days.
Saint Michael School
Official Excuse Form
Student Name:_____________________________________ Grade: ______________
Date(s) Absent:_______________________ Date Returning to School:___________________
Exact Reason for Absence:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Parent Signature: _______________________________ Date:________________
Note: Illness, quarantine, and death of immediate family are the only excuses accepted by
the state. This excuse must be submitted within three school days following the absence, or
the absence will be “unexcused.” A doctor’s excuse must be submitted with this form for
absence of three or more days.

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