Appointment Slip Template
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1APPOINTMENT SLIP
Child Absence during school day
Child’s Name:
Class:
Type of Appointment (Please delete as appropriate)
Dentist
Doctor
Hospital
Other:
Date of Appointment:
Time of Appointment:
Time Required to leave School:
Dinner arrangements: (Please delete as appropriate)
School Dinner
Sandwiches
Home
Signature of Parent/Guardian …………………………………………………………….
PLEASE PRINT NAME ……………………………… Date:…………………………..
If message received by telephone, staff member please initial …………………………..
APPOINTMENT SLIP
Child Absence during school day
Child’s Name:
Class:
Type of Appointment (Please delete as appropriate)
Dentist
Doctor
Hospital
Other:
Date of Appointment:
Time of Appointment:
Time Required to leave School:
Dinner arrangements: (Please delete as appropriate)
School Dinner
Sandwiches
Home
Signature of Parent/Guardian …………………………………………………………….
PLEASE PRINT NAME ……………………………… Date:…………………………..
If message received by telephone, staff member please initial …………………………..
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Parent category: Business