UGA Ballet Ensemble

Absence Request/Leave Form

_____________________________________ _________________
Name Date Submitted

Rehearsal Type ! MW 4-6 ! Additional Rehearsal ! Emergency Rehearsal

___________________________________________________

Number of hours absent from rehearsal ____________

Type of absence ! Illness ! Death in the Family ! Serious Academic
Dilemma

!Other______________________________________________


Date (s) __________________ Time(s) _________________

Date (s) __________________ Time(s) _________________


___________________________________________________


______________________________ _______________________
Signature Date

! I understand that documentation for illness or a death in the family is required.

! I understand that I am allowed one absence from Ballet Ensemble rehearsal
per semester for the reasons stated above and that my final letter grade will be
lowered by 1/3
rd
for additional absences incurred during that same semester.

!I understand that absences are not allowed for photo calls and technical
rehearsals - including spacing, lighting and dress rehearsals and that absence
from these mandatory rehearsals may result in being removed from the
performance in addition to the grading policy above.




Approved by _______________________ __________________
Artistic Director and Professor Date