Tardy/Absence Note

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Tardy/Absence Note

PLEASE REMEMBER THAT ABSENCE AND TARDY NOTES MUST BE RECEIVED WITHIN 5 DAYS OF THE STUDENT'S RETURN TO SCHOOL.

Parents & Guardians can expect a robocall notifying them each time your student has an unexcused tardy or absence. If parents receive a robocall and believe the tardy/absence is incorrect, please call the school (298-2173, extension 1214) the same day the robocall is received to make a correction.

Absent or Tardy *

Student's Name (Last Name, First Name) *

Date of Absence or Tardy
*

YYYY

Reason for Absence/Tardy (select only 1) *

Late - Unexcused Tardy

Injury or Illness

Medical or Dental Appointment

Religious Observance

Death in the Family

Court or Administrative Proceedings

Other (REQUIRED: Please give explanation below)

Family Travel (Unexcused)

Other:

Required

Explanation (if applicable)

Parent Name (Signature) *

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Evergreen Community Charter School. Report Abuse

Forms