Excuse For Absence Form
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1WEST YORK AREA SCHOOL DISTRICT
WEST YORK AREA SCHOOL DISTRICT
Excuse for Absence
Excuse for Absence
_______________________________________
________
_______________________________________
________
(Last Name)
(First Name)
(Middle Initial)
Grade/HR)
(Last Name)
(First Name)
(Middle Initial)
Grade/HR)
Date Absent—one day per line
AM
PM
Date Absent—one day per line
AM
PM
Explanation for absence
Explanation for absence
__________________________________________
__________________________________________
__________________________________________
__________________________________________
Parent’s Signature
Parent’s Signature
____________________________________________
____________________________________________
This form is due the day the student returns to school after being
This form is due the day the student returns to school after being
absent. No excuse blanks will be accepted after the third day of the
absent. No excuse blanks will be accepted after the third day of the
date of return from the absence. The absence will be recorded as
date of return from the absence. The absence will be recorded as
unexcused for students 17 years or older. Students under the age of
unexcused for students 17 years or older. Students under the age of
17 are recorded as unlawful.
17 are recorded as unlawful.
WEST YORK AREA SCHOOL DISTRICT
WEST YORK AREA SCHOOL DISTRICT
Excuse for Absence
Excuse for Absence
_______________________________________
________
_______________________________________
________
(Last Name)
(First Name)
(Middle Initial)
Grade/HR)
(Last Name)
(First Name)
(Middle Initial)
Grade/HR)
Date Absent—one day per line
AM
PM
Date Absent—one day per line
AM
PM
Explanation for absence
Explanation for absence
__________________________________________
__________________________________________
__________________________________________
__________________________________________
Parent’s Signature
Parent’s Signature
____________________________________________
____________________________________________
This form is due the day the student returns to school after being
This form is due the day the student returns to school after being
absent. No excuse blanks will be accepted after the third day of the
absent. No excuse blanks will be accepted after the third day of the
date of return from the absence. The absence will be recorded as
date of return from the absence. The absence will be recorded as
unexcused for students 17 years or older. Students under the age of
unexcused for students 17 years or older. Students under the age of
17 are recorded as unlawful.
17 are recorded as unlawful.
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