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Attendance Form
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* Indicates required question
Email
*
Your email
Student Name
*
Your answer
Student Grade
*
9th
10th
11th
12th
Parent/Guardian Name and Phone Number
*
Your answer
Date of Absence(s)
*
MM
/
DD
/
YYYY
Reason for Absence
*
Illness
Doctors Appointment
College Visit
Family Vacation
Family Emergency
Mental Health Day
Other
If you selected OTHER above, please describe reason for absence:
Your answer
If reason for absence is illness, please describe symptoms
*
Your answer
If student is out related to COVID19, please check which apply:
Tested Positive for COVID19
Was exposed to someone who tested positive for COVID19
Experiencing symptoms of COVID19
If student is absent for partial day, please state what times they will be absent from school
Your answer
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