Patton Student Absence Form
LEGAL NOTICE: This form is to be filled out and submitted only by the student's parent or legal guardian. In the event that a person other than the student's parent or legal guardian fills out and submits this form, AHSD25 reserves the right to take any legal action for fraudulent submission and/or take disciplinary action against any AHSD25 student(s) involved. We reserve the right to call home and verify the absence as needed.

PLEASE NOTE:
* If you are reporting a student who is arriving late or leaving early, please call our school office at 847.398.4288 instead of completing this form.

* This form will be checked between 6:45 AM and 9:00 AM each day. After 9:00 AM, please call the school office.

Parent/Guardian Last Name: *
Your answer
Parent/Guardian First Name: *
Your answer
Parent/Guardian Email: *
Your answer
Parent/Guardian Daytime Phone *
Your answer
Student Last Name: *
Your answer
Student First Name *
Your answer
Grade: *
Starting Date of Absence (reminder - if students are arriving late or leaving early, please call our school office 847.398.4288 instead of completing this form) *
MM
/
DD
/
YYYY
Ending Date of Absence *
MM
/
DD
/
YYYY
Reason for Absence *
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