Primary School Absence Excuse Form

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(Make copies as needed to send to school.)
Mount Olive Primary School
Absence Excuse Form
Please send this written note of explanation for the absence (excuse) to your child’s teacher
within three (3) days of a student’s return after any absence from school.
Give the teacher twenty-four (24) hours to gather make-up work. For absences less than three
days, teachers will provide work when the child returns. When a student returns from an
excused absence, it is the student’s responsibility to make up any required work. Teachers are
not required to provide this work unless the child is sick, or the reason for the absence has
been approved.
Student’s Name: ______________________________________ Grade: ______
Teacher’s Name: ______________________________________
Submission Date of This Form: ________________________
Date(s) of Absence(s): ________________________________
Reason for Absence(s):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
___________________________
______________________________ _________
Printed Name of Parent/Guardian
Signature of Parent/Guardian
Date
Note: If available, also attach a doctor’s note or excuse of absence.

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