St. Joseph School

(510)724-0242

Teacher's Name __________________________

Grade __

Please excuse ____________________________

For being absent on________________________

(S/He) was

_________ sick

_________ at a doctor's appointment

_________ at a dentist's appointment

_________ at an eye doctor’s appointment

_________ at a funeral for _________________

_________ other (unexcused)

______________________________________

______________________________________

Parent/Guardian Signature

______________________________________

*Please call school before 9:30 a.m. each day your

child is absent and send a note to school with your

child on the day of their return.