Absence Request Form

Please note – A request for an excused absence from a PERFORMANCE must be made directly to Dr. Lortz. After that discussion, you will submit this form if permitted to miss the performance.

This form can be submitted for missing class or any other rehearsal without contacting Dr. Lortz.

Please refer to the Attendance Policy in the course syllabus for the criteria of excused rehearsal and performance absences, along with the consequences of unexcused absences.

Procedure:

Submit this form within 1 week of an anticipated absence.
For illness, provide the physician’s documentation with the date and time.
For significant illnesses or injuries, provide medical directives regarding participation restrictions, return dates, and necessary accommodations.
If tardy, select “tardy” instead of “absence.”
Include relevant additional documentation.

Name*
First Last
Email*
Your Section*
Today's Date*
MM slash DD slash YYYY
Absence Type*
- I will be Tardy
- I will be Absent
- I will be Leaving Early
- This an ongoing absence/tardy/leave early previously discussed with Mr. Lortz.
Date of Absence
MM slash DD slash YYYY
Reason for Absence. Please be as detailed as possible, stating when and why you will need to be absent or tardy. For example, if you need to miss a basketball game, please list which game or games you need to miss and why.
Name
This field is for validation purposes and should be left unchanged.