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Student Absence Excuse: Brookhaven Elementary
To submit a note for a different school, click here.
Student FIRST Name:
*
Student LAST Name:
*
Grade
*
Pre-Kindergarten
Kindergarten
1
2
3
4
5
Homeroom Teacher
Student Number (optional)
🛈
Date of absence
*
+
Some of the reasons below
require additional documentation
to be excused.
Starting in August 2023
, a physician's or other appropriate professional's documentation will be required for ANY of these reasons to excuse more than
5 absences per semester
(6th through 12th grade) or
10 absences per year
(pre-K through 5th grade)
Reason for absence
*
🛈
Student illness or injury (If available, attach physician documentation below)
School bus failed to run (Type bus number below)
Illness or injury of student's parent, guardian, custodian or family member (explain impact on student's attendance below)
Medical or dental appointment with written excuse from physician or dentist (attach excuse below)
Calamity (fire, flood, etc.)
Death in the family
Judicial obligation or court appearance involving the student (attach documentation below)
Military requirement for student enlisted or enlisting in the military
Personal or academic circumstances approved by the principal or county board of education (describe below)
Other reason (Most other reasons are UNEXCUSED. Please explain below.)
Other information
Submit any needed documentation below or directly to the main office.
All documentation shall be provided to the school
no later than three instructional days
after the first day the student returns to school.