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Green Woods Charter School Absence Note

This form is to be completed and submitted by the parent/guardian the day a student is absent. An automated confirmation will go to the sender’s email account, and will serve to excuse the absence when applicable. No need to send in a written note. Starting on the third consecutive day of an absence, a doctor's note is required.

Please complete the form below. Required fields marked with an asterisk *

Student First Name*

Answer Required

Student Last Name*

Answer Required

Date(s) of Absence*

Answer Required

Reason for Absence

The state of Pennsylvania identifies the following reasons as excused (please check one):

Answer Required

Illness

Death in the Family

Religious Holiday

Recovery from Accident

Court Attendance

The following reasons will remain unexcused:

Answer Required

Travel

Other:

Doctor Contacted*

Answer Required

Yes

Parent Name*

Answer Required

Parent Phone*

Answer Required

If your child will be late to school, please give an approximate time of arrival

Answer Required

If your child must be picked up early, please give a time for early dismissal

Answer Required

Comments

Answer Required

Confirmation Email

Confirmation Email *

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required