Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rio Del Mar Elementary Absence Form
This form is for parents of Rio Del Mar students to register their student will not be at school for that day. It is intended for use to report day of absences, not for extended or historical absences.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Grade
*
Choose
Kindergarten
1st
2nd
3rd
4th
5th
6th
Reason for absence
*
Choose
Sick
Doctor appointment
Other (comment below)
If sick, please describe symptoms. If other, please comment.
*
Your answer
Parent name
*
Your answer
Contact phone number
*
Your answer
Additional information (if needed)
Your answer
Do you have additional students to submit absences for today?
*
Choose
Yes
No (this will submit the form)
Please list your other students and their symptoms (if the same as your first student, just enter same)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pajaro Valley Unified School District.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report