HTML Preview Absence Note page number 1.
(PLEASE PRINT)
OHS ABSENCE EXCUSE NOTE
TODAY’S DATE:__________________________________________
STUDENT NAME: ________________________________________
GRADE: 9 10 11 12 (CIRCLE ONE)
DATE(S) ABSENT: _________________________________________________________________
REASON:__________________________________________________________________________
___________________________________________________________________________________
(PLEASE INCLUDE DR. NOTE IF STUDENT WAS SEEN BY A DOCTOR / DENTIST)
PARENT SIGNATURE:______________________________________________________________
CELL #:________________________________ HOME#____________________________________
IS THIS A NEW TELEPHONE NUMBER YES____ NO____
(PLEASE PRINT)
OHS ABSENCE EXCUSE NOTE
TODAY’S DATE:_____________________________________________________________________
STUDENT NAME: ___________________________________________________________________
GRADE: 9 10 11 12 (CIRCLE ONE)
DATE(S) ABSENT: __________________________________________________________________
REASON:__________________________________________________________________________
____________________________________________________________________________________
(PLEASE INCLUDE DR. NOTE IF STUDENT WAS SEEN BY A DOCTOR / DENTIST)
PARENT SIGNATURE:_____________________________________________________________
CELL #:__________________________________HOME#_________________________________
IS THIS A NEW TELEPHONE NUMBER YES____ NO____