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Large Ensemble Absence Request Form
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Student First Name
Student Last Name
Parent/Guardian First Name
Parent/Guardian Last Name
Email Address
Select your Ensemble(s)
Select your Ensemble(s)
PYO (Peabody Youth Orchestra)
YAO (Young Artists Orchestra)
Misbin Ensemble
PSE (Preparatory String Ensemble)
Future Misbin Ensemble
PWO (Peabody Wind Orchestra)
PWB (Peabody Wind Band)
PCB (Peabody Concert Band)
Congregation
Improvisation Ensemble
Jazz Combo
Instrument
Flute
Oboe
Clarinet
Bassoon
Saxophone
French Horn
Trumpet
Trombone
Tuba
Percussion
Piano
Harp
Violin
Viola
Cello
Bass
Other
Other:
Type of Absence
Type of Absence
Absence
Late Arrival
Early Departure
Short-term Leave of Absence
Emergency Absence
Absence Request
Date of Absence
Date of Absence
January
February
March
April
May
June
July
August
September
October
November
December
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2044
2045
Is this request for an absence from a sectional, dress rehearsal, or concert?
Is this request for an absence from a sectional, dress rehearsal, or concert?
Yes
No
Reason for Absence
Reason for Absence
Illness or Injury (e.g. Fever, Flu, etc.)
Standardized Testing (SAT, PSAT, ACT, TOEFL, etc.)
Major Performance Opportunity (Concerto performance, etc.)
Transportation Issue (Dangerous road conditions, flat tire, etc.)
College Audition or Competition
Briefly describe the absence.
You will still be required to provide official documentation to support this request.
Late Arrival Request
Transition time between classes or other ensembles at the Preparatory is not a valid reason for a Late Arrival Request.
Date of Late Arrival
Date of Late Arrival
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
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31
2000
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2011
2012
2013
2014
2015
2016
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2020
2021
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2024
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2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Approximately what time will you arrive at rehearsal?
Please use a 00:00xx format for your response. (e.g., 11:50am or 05:25pm)
Is this request for a late arrival for a sectional, dress rehearsal, or concert?
Is this request for a late arrival for a sectional, dress rehearsal, or concert?
Yes
No
Briefly describe the reason.
You will still be required to provide official documentation to support this request.
Early Departure Request
Date of Early Departure
Date of Early Departure
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
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31
2000
2001
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2005
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2010
2011
2012
2013
2014
2015
2016
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2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Approximately what time will you leave at rehearsal?
Please use a 00:00xx format for your response. (e.g., 11:50am or 05:25pm)
Is this request for an early departure from a sectional, dress rehearsal, or concert?
Early departure from these events may not be as readily accommodated.
Is this request for an early departure from a sectional, dress rehearsal, or concert?
Early departure from these events may not be as readily accommodated.
Yes
No
Briefly describe the reason.
You will still be required to provide official documentation to support this request.
Short Term Leave of Absence Request
Short-term Leave of Absence requests are submitted when a student's circumstances require exceeding the allowed absence limit, or if a student needs to miss two (2) or more consecutive rehearsals. These requests are handled case-by-case and may not be readily accommodated.
Describe the nature of the short-term leave of absence being requested.
Emergency Absence Documentation
DO NOT use this form to alert us about an emergency. Please email your conductor and the large ensemble coordinator to let us know. Then use this to retroactively submit any information relating to an emergency or unexpected absence.
What date did the absence occur?
What date did the absence occur?
January
February
March
April
May
June
July
August
September
October
November
December
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Reason for Absence
Reason for Absence
Sudden Illness or Injury
Family Emergency
Transportation Issue
Other
Other:
Describe the nature of the emergency.
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