CHS ALL DAY ABSENTEE FORM

Use this form when your child has been absent all day from school.

You must bring this form to the Front Office within 48 hours of return to school

for the absence to be excused.

____________________________________________, _______, ________________

(student name – please print- NO nicknames) (grade) (student birthday)

was absent on _____________________________________________________ because

[date(s)]

________________________________________________________________________

(please explain)

_______________________________________________________________________.

______________________________________

(parent/guardian name – please print)

______________________________________

(parent/guardian signature)

_____________________________________________

(phone number for parent)

________________________

(today’s date)

________________________________________________________________________

OFFICE USE ONLY

Excused or Unexcused (circle one)