Whitemarsh Elementary School Absence Note

This form is to be completed and submitted by the parent/guardian. Starting on the fourth consecutive day of an absence, a doctor's note is required.

All absences beyond 10 cumulative days in one school year require a written excuse from a licensed practitioner.

Student First Namerequired

Student Last Namerequired

Room Numberrequired

Homeroom Teacherrequired

Date(s) of Absencerequired

Reason for AbsencerequiredThe state of Pennsylvania identifies the above reasons as excused.

Illness

Death In Family

Quarantine

Religious Holiday

Recovery of Accident

Court Attendance

Family Emergency/Other Urgent Reason

The state of Pennsylvania identifies the above reasons as excused.

If you're planning an educational trip, you need to complete the Educational Trip Request Form in advance. Click here to go a page with a link to the form.

Doctor Contacted?required

Yes

No

Do you have a doctor's note to upload?required

Yes

No

Please upload your doctor's note here.required

Attach up to 1 file with a maximum size of 10MB

No file chosen

Please add any information you'd like to share about your child's illness (optional):

Please specify holiday being observed.required

Please explain your Family Emergency/Other Urgent Reason.required

Parent/Guardian Namerequired

Parent/Guardian Phonerequired

Parent/Guardian Email Addressrequired

Note: The parent/guardian email address may be checked against school records.