Print and return this form to school in order for your child to have an excused absence.
You may staple the doctor note to it.
Note Explaining Absence
Homeroom Teacher: Ms. Miranda MMK
Date: ______________________________________
Child’s Name: ______________________________________
Child’s ID Number: ______________________________________
Date(s) Absent: ______________________________________
Reason: ______________________________________________
_______________________________________________
_______________________________________________
Sincerely,
Parent Signature: ___________________________________________