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PFA
Permission for Absence
My student, _____________________________________ (print),
(Will be) was absent from Rehearsal or Performance (circle one)
on_________________(Month/Day/Year)
Please check one of the choices below: (Only these will result in an excused absence.)
Sickness
Death of an immediate family member
Religious Holiday
Severe Injury (with doctors note)
School-related event approved by administration

Please Note:

Previous scheduled conflict such as sports or appointments (must be turned in 1 week in

advance to avoid lowered grade, no grade, or non-performance status) The 1 week
deadline will be strictly enforced.
PFA for last minute emergencies must be received within 2 school days to avoid lowered
grade, no grade, or non-performance status) This 2 day deadline will be strictly enforced.

____________________________
Parent Signature

_____________________
Date

July 2015