ACADEMICS

PARENTAL EXCUSE FOR ABSENCE(S)
Please fill out and submit this form within three (3) school days of the student's absence to excuse your child due to illness only. In cases of illness, completing this form eliminates the need for you to call. PLEASE NOTE: This form is not to be used for any other absences, such as doctor/dentist appointments, college visits, court appearances, religious holidays, vacation, etc.
If you have any questions, please contact Della Coombe Malone Middle School attendance clerk, dcoombe@maloneschools.org

* Indicates required field

Students Name *

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Last

Student's Grade Level *

Number Of Days To Be Excused *

Date(s) Of Absence(s) *

Reason For Absence(s) *

Parent Email *

Parent Phone Number *

PARENT OR GUARDIAN SIGNATURE: BY ENTERING MY NAME IN THE BOX BELOW, I ATTEST THAT I AM THE PARENT/GUARDIAN OF THE ABOVE-NAMED STUDENT. *

First

Last

Submit