St. Monica School

PREARRANGED ABSENCE

GRADES 4 & 5

STUDENT­                                                                               GRADE                      

REASON FOR ABSENCE                                                                                                                                                                            

DATE(S) OF ABSENCE(S)                                                                                       

TO THE STUDENT OR PARENT:  This form must be COMPLETED and signed by appropriate teacher(s) and returned to the Principal prior to the absence(s).

This absence form is to be used when the student will miss one full period or more.

Absences, whether excused or unexcused, count within the attendance requirements specified in the School Commission policy.

Date                        Parent Signature                                                                                       

Date                        Principal Signature