A Note to School
Date:
__________________
Student:
_____________________________
(First Name and Last Name)
Teacher:
____________________
Grade: _______
Check one
below:
q
is late today
because _____________________________________________
q will be a car rider at dismissal and will be picked
up by
_____________________________________________
q will be picked up early today by
____________________
(Name)
at ____________
for ____________________________
(Time) (doctor, dentist, travel, etc.)
q is returning to school after being absent on
_____________________ due to
(list
dates)
____________________________________
(Reason for
absence(s))
q will NOT be a bus rider today because he/she is
staying after school for _________________________________
(name of
group or activity)
Parent/Guardian Signature:
______________________________________
Phone Number to contact you if we have questions:
_________________________________
GVES office staff appreciates your completion of this form! THANKS!!
Date: __________________
Student:
_____________________________
(First Name and Last Name)
Teacher:
____________________
Grade: _______
Check one
below:
q is late today because _________________________________________________
q will be a car rider at dismissal and will be picked up by ______________________________________________
q will be picked up early today by
____________________
(Name)
at ____________ for ______________________
(Time) (doctor, dentist, travel, etc.)
q is returning to school after being absent on
____________________ due
to
(list dates)
____________________________________
(Reason
for absence(s))
q will NOT be a bus rider today because he/she is
staying after school for _________________________________
(name
of group or activity)
Parent/Guardian Signature:
______________________________________
Phone Number to contact you if we have questions:
_________________________________
GVES office staff appreciates your completion of this form! THANKS!!