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POMPANO BEACH HIGH SCHOOL

ABSENCE • TARDY • EARLY RELEASE • FORM

The intent of this form is to provide you, the parent, with a simple tool to excuse absences, tardies and early releases for your child. According to the Code of Student Conduct, absences, tardies, early releases are
EXCUSED ONLY FOR THE FOLLOWING REASONS:

* Check One:
ABSENCE TARDY EARLY RELEASE

* Check One:
1. Illness

2. Illness of immediate family member

3. Death in the family

4. Religious holiday of the student's faith

5. Required court appearance or subpoena by law enforcement agency

6. Special event:
Examples of special events include important public functions, conferences, state/national competitions as well as exceptional cases of family need. The student must get permission from the principal or designee at least five days ahead of time.

7. Scheduled doctor/dentist appointment

8. Communicable diseases or lice infestation

9. Other – Please explain

This form must be SUBMITTED NO LATER THAN TWO DAYS FOLLOWING THE
ABSENCE / TARDY or EARLY RELEASE.
Please print a copy for your records. You will receive an email confirmation within the next 30 minutes.

* Student Name:

* Student Number:

* Date of Absence / Tardy or Early Release: (YYYY-MM-DD)

* Parent Name:

* Parent Email Address:

* Parent Primary Phone Number:

If you do not receive a confirmation e-mail within 30 minutes please submit again.

* Required Information