Attendance Form

When you report an absence due to illness, please indicate the nature or symptoms of your child's illness.

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