SAM RAYBURN HIGH SCHOOL CHOIR 2121 Cherrybrook Lane Pasadena, TX  77502 713-477-3601, ext. 1536 713-920-8267 (fax)           E. A. “Tony” Tuckwiller                                                   Pamela Austin-Goza                 Director                                                                          Asst.  Director       Request for Excused Absence or Tardy     Name__________________________________________Date_______________________   Parents/Guardians______________________________________Phone__________________   Circle one request:         Absence                Tardy   Date needed________________________________________________________________   Why is this request necessary?     ____________________________________________________ ____________________________________________________ ____________________________________________________      Remember that attendance has a direct effect on your grade.  Please make your request as soon as you know that you may have to miss a performance or rehearsal, or that you will be late arriving.  If the absence is an emergency, please execute this form as soon after the emergency as possible.   Student’s Signature___________________________________Date_____________________   Parent’s Signature____________________________________Date_____________________   Sponsor’s Signature___________________________________Date_____________________