Loading...

Answers Academy

Pre-Planned Absence Form


Pre-Planned Absence

Please complete this form before the start of any planned absences and submit this form to the school office 3 days before the absence. If the student will be absent for 3 or more consecutive days, the Administrator will need to give approval.

Policy Reminders

  • Students must be in school for a minimum of 4 hours or they will be counted absent for the day.
  • For a student to receive credit in any class, total absences may not exceed 10 days for the year.
  • Absences are not designated as excused or unexcused. Please be mindful of the required days of classroom attendance when choosing nonessential absences from class.
  • It is the student’s/family’s responsibility to contact the school before a whole day absence to get work that is planned for the time the student will be out of class.
  • For non-medical absences, the make-up schoolwork is due the first day back from a pre-planned absence, otherwise a grade of zero will be recorded for missed assignments.

Today's date: May 15, 2024



First Student's Name

First Name*

Last Name*
First Student's Age Acknowledgment*
First Student's Date of Birth*
I certify that I am 18 years of age or older
First Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
First Student's Signature*
Second Student's Name

First Name*

Last Name*
Second Student's Date of Birth*
Second Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Third Student's Name

First Name*

Last Name*
Third Student's Date of Birth*
Third Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Fourth Student's Name

First Name*

Last Name*
Fourth Student's Date of Birth*
Fourth Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Fifth Student's Name

First Name*

Last Name*
Fifth Student's Date of Birth*
Fifth Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Sixth Student's Name

First Name*

Last Name*
Sixth Student's Date of Birth*
Sixth Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Seventh Student's Name

First Name*

Last Name*
Seventh Student's Date of Birth*
Seventh Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Eighth Student's Name

First Name*

Last Name*
Eighth Student's Date of Birth*
Eighth Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Ninth Student's Name

First Name*

Last Name*
Ninth Student's Date of Birth*
Ninth Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Tenth Student's Name

First Name*

Last Name*
Tenth Student's Date of Birth*
Tenth Student's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Parent or Guardian's Email Address

Email
A signed copy of this waiver will be sent to the email address you provide.
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

Grade:

Date of Absence(s):
Reason for Absence (Please check one):*
Medical: Student has a medical/dental appointment or other pre-planned medical situation.
Family Event: Including weddings and funerals.
Family Vacation: We encourage families to take vacation during school breaks.
Other:

If Other, Please Explain:
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!