Pre-Arranged Absence Form
Name: ______________________ Instrument: _____________ Grade: ___
I request an excused absence from orchestra rehearsal on ____ / ____ / _____
My reason is (Be specific.
What / Where / Why): ___________________________
_____________________________________________________________
_____________________________________________________________
_____________________________________________________________.
_____________________ _________________________
Student Signature & date Parent Signature & date
Submit this form to the appropriate parties at least three days before a rehearsal, and three weeks before a performance.
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Principal Section Leader:
I recommend approval of this absence ____.
I do not recommend approval this absence ____.
Comments: ______________________________________________________________
Signed: __________________________ Date: _________
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Orchestra Director:
I approve this absence ____. I do not approve this absence ____.
Make up assignment required: ____
Assignment: ____________________________ Completed on: ____________
Director Signature: ________________________________ Date: ____________