Student Absence Excuse: Mylan Park Elementary

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Student FIRST Name: *

Student LAST Name: *

Grade *

Homeroom Teacher

Student Number (optional) 🛈

Date of absence * +

Some of the reasons below require additional documentation to be excused.

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)

NOTE: Administrators can no longer approve excused absences for personal or academic travel. This was changed by action of the WV State Legislature during the 2024 session. Absences for vacation and similar purposes will be unexcused.

Reason for absence * 🛈

Medical or dental appointment with written excuse from physician or dentist (attach excuse below)

Student illness or injury (If available, attach physician documentation below)

Illness or injury of student's parent, guardian, custodian or family member (explain impact on student's attendance below)

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

School bus failed to run (Type bus number 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.