Excused Absence Form

To excuse your student for illness, family emergencies, and/or inclement weather, call (319) 248-1248 for PSSO, or (319) 337-4156 for Concert Orchestra. ALSO, submit this completed and signed form.
Please check which orchestra the student is in(Required)
Name(Required)
MM slash DD slash YYYY
MM slash DD slash YYYY

1. Foreseen Absences

Foreseen Absences (concerts, rehearsals. Submit this signed form at least one week prior to absence.
MM slash DD slash YYYY
Event Starting Time
:
College visit, audition, family trip, etc. Please provide detailed explanation. A parent or Guardian must sign the form.

2. Unforeseen Absences

Unforeseen Absences (concerts, rehearsals)
Reason for Absence

Parent or Guardian Name(Required)