Strath Haven High School
Strath Haven High School
Name:______________________________
Name:________________________________
Date:________________
Date:__________________
*Please check appropriate circle
*Please check appropriate circle
O Late
o Late
O Early dismissal Time:____________
o Early dismissal Time:______________
O Absence
o Absence
Reason:______________________________
Reason:______________________________
Parent/Guardian Signature
Parent/Guardian Signature
_____________________________________
_____________________________________
*A Doctor’s note is required for
absences of three or more days.
*A Doctor’s note is required for
absences of three or more days.
Strath Haven High School
Strath Haven High School
Name:______________________________
Name:________________________________
Date:________________
Date:__________________
*Please check appropriate circle
*Please check appropriate circle
o Late
o Late
o Early dismissal Time:____________
o Early dismissal
o Absence
o Absence
Time:________________
Reason:______________________________
Reason:_______________________________
Parent/Guardian Signature
Parent/Guardian Signature
_____________________________________
______________________________________
*A Doctor’s note is required for
absences of three or more days.
*A Doctor’s note is required for
absences of three or more days.