Report Student Absence 2023-2024
Report Student Absence 2023-2024
Parent/Guardian may use this form to report a student absence.
Student Name
Student Name
*
First
Last
Student ID Number
*
Parent/Guardian Name
Parent/Guardian Name
*
First
Last
Parent/Guardian Phone
Parent/Guardian Phone
*
-
###
-
###
####
Parent/Guardian email
*
Dates of Absence: If more than 3 days, please use the prearranged absence request form.
*
Reason for Absence:
*
Reason for Absence:
Illness
Major illness in immediate family (parents, siblings, grandparents, aunts, uncles, legal guardians, member of household)
Death in immediate family of student
Religious holiday/instruction
Subpoena or forced absence by law enforcement. Copy of subpoena or summons must be submitted to the school
Other reason
Please submit documentation below:
Attach Files
Explanation of absence if "other reason" was selected
Draw your signature into the box below.
Draw
or
Type
I understand this is a legal representation of my signature.
Clear
Full Name
I understand this is a legal representation of my signature.