TODAY'S DATE________________________

NAME (PRINT)_______________________________________________

NAME OF YOUR ENSEMBLE __________________________________

DATE ABSENCE WILL TAKE PLACE:___________________________

***REASON FOR ABSENCE:

________________________________________________________________________

________________________________________________________________________

This form is intended to give a one-week minimum notice to your ensemble and director regarding a missed rehearsal/performance as a courtesy. You are part of a performing ensemble. Your grade and understanding of this class are substantially based upon attendance. Director reserves the right to grant an absence as excused or unexcused.

STUDENT SIGNATURE_________________________________________

PRINT NAME__________________________________________________

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For Director Use Only For Director Use Only For Director Use only

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EXCUSED_____________________ NOT EXCUSED____________________