Berlin Brothersvalley School District

 

EXCUSE FOR ABSENCE

�A lawful excuse is the parent�s protection from arrest.�

 

Student�s Name_______________________________________Grade________

 

Date(s) of absence__________________________________________________

 

Date arrived late_____________________________Time arrived_____________

 

Date to be excused early______________________Time___________________

 

The State Law requires an explanation from the parent in each case of absence or tardiness.

Please state the reason below.

 

Reason (be specific)________________________________________________

 

_________________________________________________________________

 

_________________________________________________________________

 

 

 

Signature of parent or guardian________________________________________