Planned Absence Request for Student

If you are planning on having your student miss one or more days of school, please fill out this form.

Minneapolis Attendance Policy 5100 allows up to 5 days per year for excused family activity-more than 5 days are unexcused. Please continue to inform us of your planned family activities. If you have any questions, please call the Health Office at 612-668-4007.

Student First Name 
Student Last Name 
Parent First Name 
Parent Last Name 
Email Address 
Phone - School may call to verify  
First Date of Absence 
Last Date of Absence 
Reason for Absence


* denotes a required field