Colonial Elementary School Absence Note

This form is to be completed and submitted by the parent/guardian. Starting on the third 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.

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

Is it COVID?required

Yes

No

Date of first symptoms or positive COVID test.required

Must contain a date in M/D/YYYY format

What is your child's anticipated return date?required

Student may return to school five days after the first symptoms or positive COVID test. (Must contain a date in M/D/YYYY format)

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.