Malone Middle School
15 Francis Street, Malone, NY 12953
Phone: (518)483-7801, Fax (518) 483-9497
Principal: Dustin Relation
Assistant Principal: Virginia Doll
Athletic Director: Joe Santamoor (518) 483-7807, ext. 7396
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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 Samantha Arnold Malone Middle School attendance clerk, slarnold@maloneschools.org
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Indicates required field
Students Name
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First
Last
Student's Grade Level
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6th
7th
8th
Number Of Days To Be Excused
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1
2
3
4
5
Date(s) Of Absence(s)
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Reason For Absence(s)
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Parent Email
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Parent Phone Number
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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.
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First
Last
Submit