Absence And Prearranged Absence Form
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15304 Murray Lane, Brentwood, TN 37207
Absence and Prearranged Absence Form
Prearranged absences must be submitted 1 week prior to start date of absence.
Reason for absence: (Check one.)
College
Court
DMV (max 3 class periods)
Extra-Curricular Activity:______________
Funeral
Illness
Medical (doctor note required)
Other:_____________________________
Travel (1 trip, up to 5 days excused)
*Attach any documentation to this form. (Doctor’s notes are required after 10 absences.)
Please print and fill in completely.
Student’s Name: ___________________________________________Grade:________
Date(s) of Absence:_______________________________________________________
Parent Name: ___________________________________________________________
Parent Signature: _____________________________
Phone:__________________
Please refer to attendance policy found on the BHS website:
5304 Murray Lane, Brentwood, TN 37207
Absence and Prearranged Absence Form
Prearranged absences must be submitted 1 week prior to start date of absence.
Reason for absence: (Check one.)
College
Court
DMV (max 3 class periods)
Extra-Curricular Activity:______________
Funeral
Illness
Medical (doctor note required)
Other:_____________________________
Travel (1 trip, up to 5 days excused)
*Attach any documentation to this form. (Doctor’s notes are required after 10 absences.)
Please print and fill in completely.
Student’s Name: ___________________________________________Grade:________
Date(s) of Absence:_______________________________________________________
Parent Name: ___________________________________________________________
Parent Signature: _____________________________
Phone:__________________
Please refer to attendance policy found on the BHS website:
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