Excuse for Absence or Tardiness

................................................................................................   was
*Absent - *Tardy   (*Cross out one)
from school on ......................................................................................
An explanation from the parent, or guardian, in each case of absence, or tardiness, is required for admission to school.  Kindly state the reason below.


............................................................................   Teacher

The reason for *absence - *tardiness was   ............................................

................................................................................................................

................................................................................................................

................................................................................................................

................................
Date

...............................................................................
(Hand written signature by parent or guardian required)

This excuse must be kept on file for the inspection of School Officials.  Absence claimed by illness may require a report from a physician, or examination by the school nurse or Health Official.

Printed from the Guth Web page.  Reproduction of Form 27, Kurtz Bros., Clearfield, Pa.

frm-abs