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Permission Form for Swimming Ed 游泳課請假單 Permission Form for Swimming Ed 游泳課請假單

Student No. Home Room: Student No. Home Room:


學號: 中文班級: 學號: 中文班級:

Name: Date: Student Name: Date:


姓名: 請假日期: 學生姓名: 請假日期:

Reason : Reason :
請假原因: 請假原因:
□ Sick 生病 □ Sick 生病
□ Monthly Period 例假(生理期) □ Monthly Period 例假(生理期)
□ Others 其他: □ Others 其他:

※ Calculating by truancy, button up 5 points each ※ Calculating by truancy, button up 5 points each
time, if students are absent or not be able swim time, if students are absent or not be able swim
from swimming class without permissions or the from swimming class without permissions or the
doctor proves. doctor proves.
※ 曠課或無故未下水,每次扣 5 分 ※ 曠課或無故未下水,每次扣 5 分

Parent’s signature 家長簽名: Parent’s signature 家長簽名:

PE Section copy 體育組留存 Student copy 學生留存

Permission Form for Swimming Ed 游泳課請假單 Permission Form for Swimming Ed 游泳課請假單

Student No. Home Room: Student No. Home Room:


學號: 中文班級: 學號: 中文班級:

Name: Date: Student Name: Date:


姓名: 請假日期: 學生姓名: 請假日期:

Reason : Reason :
請假原因: 請假原因:
□ Sick 生病 □ Sick 生病
□ Monthly Period 例假(生理期) □ Monthly Period 例假(生理期)
□ Others 其他: □ Others 其他:

※ Calculating by truancy, button up 5 points each ※ Calculating by truancy, button up 5 points each
time, if students are absent or not be able swim time, if students are absent or not be able swim
from swimming class without permissions or the from swimming class without permissions or the
doctor proves. doctor proves.
※ 曠課或無故未下水,每次扣 5 分 ※ 曠課或無故未下水,每次扣 5 分

Parent’s signature 家長簽名: Parent’s signature 家長簽名:

PE Section copy 體育組留存 Student copy 學生留存

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