Our Lady of Tepeyac Grade School - 6th, 7th, & 8th grades
Excuse for Absence/Request for Missed Schoolwork

Date(s) Absent:	Student’s Name:	
Grade:		
Check the reason for student’s absence:	□	student was ill	□	out of town/traveling	
	□	personal	□	transportation problem	

I understand my student is responsible for any missed work assigned by the teachers.

Parent Signature: X _________________________________________ Date: ___________

Our Lady of Tepeyac Grade School - 6th, 7th, & 8th grades
Excuse for Absence/Request for Missed Schoolwork

Date(s) Absent:	Student’s Name:	
Grade:		
Check the reason for student’s absence:	□	student was ill	□	out of town/traveling	
	□	personal	□	transportation problem	

I understand my student is responsible for any missed work assigned by the teachers.

Parent Signature: X _________________________________________ Date: ___________

Our Lady of Tepeyac Grade School - 6th, 7th, & 8th grades
Excuse for Absence/Request for Missed Schoolwork

Date(s) Absent:	Student’s Name:	
Grade:		
Check the reason for student’s absence:	□	student was ill	□	out of town/traveling	
	□	personal	□	transportation problem	

I understand my student is responsible for any missed work assigned by the teachers.

Parent Signature: X _________________________________________ Date: ___________