Student Absence Reporting Form
Please use this form to report a student absence.
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Student's First Name *
Student's Middle Name *
Student's Last Name *
Student Grade *
Please choose
Homeroom - This field is not required but is encouraged
Please choose homeroom
Date of Absence *
Format: mm/dd/yy
Reason for absence *
Choose one of the following answers
Explanation of Absence *
Parent/Legal Guardian Name *
BY TYPING YOUR NAME BELOW AND SUBMITTING THIS FORM, YOU ARE CERTIFYING YOU ARE THE PARENT OR GUARDIAN OF THE STUDENT NAMED ABOVE, AND UNDERSTAND THIS CONSTITUTES YOUR SIGNATURE.   INTENTIONAL MISREPRESENTATION MAY HAVE LEGAL OR SCHOOL DISCIPLINE CONSEQUENCES.
Contact Phone Number *
Contact Email
Submit
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