Attendance Form

Submit an absence online

Contact Information

@email

Hours (if needed)

Monday - Friday: 8:30 a.m. - 4 p.m.

Special Note to Parents/Guardians:

To assist the Health Room and to monitor and track illness, please be specific about your child's illness. For example, if your child has seen a physician please be specific about the diagnosis, such as strep throat or pink eye. If your child is ill, and has not seen a physician, please be specific about your child's symptoms, for example fever, vomiting, rash, diarrhea, sore throat or cough.

This attendance form is to be submitted by the parent/legal guardian only.

Date of Absence

Consecutive Day Absences?

Please check this box if you wish to report consecutive day absences.

Consecutive Absence Dates

Please list the specific consecutive dates of the absence.

Student's First Name

Student's Last Name

Grade

Reason for Absence

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Alternative Phone Number

Parent/Guardian Email Address

By submitting this form, you are confirming that you are the parent or legal guardian of the student

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