Report an Absence

Post August 26, 2022

To report/clear an absence the form below should be completed by a student’s parent or guardian.

Office staff will call to verify as necessary.

Please read the following options thoroughly and select the reason that best describes why your student was or will be absent.

THANK YOU for helping your student attend as often as possible in order to stay on track. Attendance MATTERS!

If you would like to request homework, please email your teacher directly.

PLEASE SUBMIT ONE REPORT OF ABSENCE EITHER BY PHONE OR EMAIL . DO NOT SUBMIT BOTH. PLEASE ALLOW 72 HOURS TO CLEAR THIS ABSENCE.

PLEASE DO NOT SUBMIT EARLY DISMISSAL REQUESTS THROUGH THIS FORM.

Student Information

Student Last Name: *

Student First Name: *

Date of Birth: *

Grade Level: *

First Day Absent: *

Please select the date absent or if multiple days the date absence began.

Last Day Absent: *

If student was absent multiple days in a row, please select the date absence ended. Please leave field blank if student was absent only one day.

Parent/Guardian or Authorized Caregiver Information

Parent/Guardian Name: *

Phone Number:

Email Address: *

Absence Information

Reason for Absence(s): *

Do you have a medical note?: *

Yes

Do you have a medical note?: *

Yes

Upload Note:

Do you have verification?: *

Yes

Upload Verification:

Comments (optional):

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