School District of Philadelphia ABSENCE EXCUSE NOTE

School District of Philadelphia ABSENCE EXCUSE NOTE

School District of Philadelphia ABSENCE EXCUSE NOTE

Today's Date: __________________________________ Child's Name: __________________________________ Child's Grade: _____________ Room: _____________ Number Days Absent: _______________ List Date(s) Absent: ______________________________

NOTE: 3 or more days absent in a row requires a doctor's note

Reason for Absence: _____________________________ _______________________________________________ _______________________________________________ _______________________________________________

Today's Date: __________________________________ Child's Name: __________________________________ Child's Grade: _____________ Room: _____________ Number Days Absent: _______________ List Date(s) Absent: ______________________________

NOTE: 3 or more days absent in a row requires a doctor's note

Reason for Absence: _____________________________ _______________________________________________ _______________________________________________ _______________________________________________

________________________________________________ ________________________________________________

_______________________________

Parent or Guardian Signature

_______________________________

Parent or Guardian Signature

School District of Philadelphia ABSENCE EXCUSE NOTE

School District of Philadelphia ABSENCE EXCUSE NOTE

Today's Date: __________________________________ Child's Name: __________________________________ Child's Grade: _____________ Room: _____________ Number Days Absent: _______________ List Date(s) Absent: ______________________________

NOTE: 3 or more days absent in a row requires a doctor's note

Reason for Absence: _____________________________ _______________________________________________ _______________________________________________ _______________________________________________

Today's Date: __________________________________ Child's Name: __________________________________ Child's Grade: _____________ Room: _____________ Number Days Absent: _______________ List Date(s) Absent: ______________________________

NOTE: 3 or more days absent in a row requires a doctor's note

Reason for Absence: _____________________________ _______________________________________________ _______________________________________________ _______________________________________________

________________________________________________ ________________________________________________

_______________________________

Parent or Guardian Signature

_______________________________

Parent or Guardian Signature

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