Champion Christian School

Excuse Blank for Absence or Tardiness

_______________________________________ was

[ ]Absent [ ]Tardy from school [ ]dismissed early

on the following date(s):___________________

Reason:___________________________________________________________________________________

_________ ________________________________

Date              Signature of Parent/Guardian

Office use only:

[ ]Excused                            [ ]Unlawful

[ ]Unexcused                        [ ]Tardy_____min.

Champion Christian School

Excuse Blank for Absence or Tardiness

_______________________________________ was

[ ]Absent [ ]Tardy from school [ ]dismissed early

on the following date(s):___________________

Reason:___________________________________________________________________________________

_________ ________________________________

Date              Signature of Parent/Guardian

Office use only:

[ ]Excused                            [ ]Unlawful

[ ]Unexcused                        [ ]Tardy_____min.

Champion Christian School

Excuse Blank for Absence or Tardiness

_______________________________________ was

[ ]Absent [ ]Tardy from school [ ]dismissed early

on the following date(s):___________________

Reason:___________________________________________________________________________________

_________ ________________________________

Date              Signature of Parent/Guardian

Office use only:

[ ]Excused                            [ ]Unlawful

[ ]Unexcused                        [ ]Tardy_____min.

Champion Christian School

Excuse Blank for Absence or Tardiness

_______________________________________ was

[ ]Absent [ ]Tardy from school [ ]dismissed early

on the following date(s):___________________

Reason:___________________________________________________________________________________

_________ ________________________________

Date              Signature of Parent/Guardian

Office use only:

[ ]Excused                            [ ]Unlawful

[ ]Unexcused                        [ ]Tardy_____min.

Champion Christian School

Excuse Blank for Absence or Tardiness

_______________________________________ was

[ ]Absent [ ]Tardy from school [ ]dismissed early

on the following date(s):___________________

Reason:___________________________________________________________________________________

_________ ________________________________

Date              Signature of Parent/Guardian

Office use only:

[ ]Excused                            [ ]Unlawful

[ ]Unexcused                        [ ]Tardy_____min.

Champion Christian School

Excuse Blank for Absence or Tardiness

_______________________________________ was

[ ]Absent [ ]Tardy from school [ ]dismissed early

on the following date(s):___________________

Reason:___________________________________________________________________________________

_________ ________________________________

Date              Signature of Parent/Guardian

Office use only:

[ ]Excused                            [ ]Unlawful

[ ]Unexcused                        [ ]Tardy_____min.