Absence / Conflict Request

Middletown HS • Marching Knights

Student & Parent Info

Student First Name *

Student Last Name *

Student Email Address *

Student Section *

Parent/Guardian Name *

Parent/Guardian Email *

Reason & Activity Type

Reason for Absence *

Type of activity you are missing *

Selecting “MHS/FCPS Activity” opens the conflict section. Selecting “Not riding bus” opens bus options.

FCPS/MHS Activity Conflict

Is the absence due to a conflict with an FCPS and/or MHS activity in any capacity? *

Yes No

Activity *

Advisor *

Advisor Email *

I understand that the Conflict Resolution Form must be completed for conflicts with MHS/FCPS activities. *

Date(s) of Absence(s)

Add one or more dates. At least one date is required.
Marching Knights Calendar

Partial Attendance

Are you only missing a portion of the activity? *

Yes No

If so, what time will you arrive? *

What time will you leave? *

Bus Rides

Do bus rides apply to this absence? *

Yes No

If so, which applies? *

Not riding the bus at all

Not riding the bus to the activity

Not riding the bus from the activity

I understand that the Alternative Transportation form must be completed, signed by an administrator, and given to Mr. Shearer. *

Student Agreements (Required)

I have made every attempt possible to avoid this absence.
I understand that my absence has a significant impact on the progress of the group.
I understand that I am responsible for catching up by being proactive in learning what I miss.
I understand that I may be prohibited from participating in our next performance because of my absence (excused or unexcused) and that my presence is still required.
I understand that absence requests with less than two-weeks notice are unexcused. (except illness/emergencies)
I understand that I may be dismissed from the organization based on several absences even if they are excused.

Thanks! Your request was submitted.