Editing previous response:

Please fix the highlighted areas below before submitting.

Absence Reporting 2024

To report can absence, please complete this form and submit.

Parent / Guardian's Name*

Answer Required

Student's First Name*

Answer Required

Student's Last Name*

Answer Required

Student Grade*

Answer Required

Homeroom Teacher*

Answer Required

Absence Date*

Answer Required

Reason for Absence (ill, vacation, etc.). *

Answer Required

Symptoms, if ill*

Answer Required

Fever?*

Answer Required

Yes

If absence is longer than 1 day, please indicate expected date of return*

Answer Required

If you have more than one student in your household who will be absent, please complete the information for each child. When finished, scroll to the bottom to SUBMIT.

Student 2 First & Last Name

Answer Required

Student 2 Grade

Answer Required

Student 2 Homeroom Teacher

Answer Required

Absence Date

Answer Required

Reason for Absence (ill, vacation, etc.)

Answer Required

Symptoms, if ill

Answer Required

Fever?

Answer Required

Yes

If absence is longer than 1 day, please indicate expected date of return

Answer Required

Student #3 First & Last Name

Answer Required

Student #3 Grade

Answer Required

Student #3 Homeroom Teacher

Answer Required

Absence Date

Answer Required

Reason for Absence (ill, vacation, etc.)

Answer Required

Symptoms, if ill

Answer Required

Fever?

Answer Required

Yes

If absence is longer than 1 day, please indicate expected date of return

Answer Required