Andover Middle School - Pre-Planned Absence Form

Please Fill Out The Pre-Planned Absence Form Below

Student Name

Grade Level

6th

7th

8th

Parent/Guardian Name

Phone

Dates of Planned Absence

Reason for Absence:

How many days has the student been absent due to other trips during this semester?

I understand that it is my child's responsibility to pick up this approved form from the office for make-up work, and that certain activities and lessons may be impossible to make up such as field trips, labs, guest speakers, class discussions, etc. All homework assigned during a pre-planned absence is due upon the student's return to school.

Yes

Parent/Guardian Signature

Parent's Email

Date

FOR OFFICE USE ONLY

Request submitted in writing prior to absence

Excused

Not Excused

Administrator's Signature

Date

Email a copy to

optional

Required Fields