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PHMS Absence Reporting
Complete this form to report your child's absence. You must complete a separate form for each child. Please use email on file at PHMS for validation. Student emails may NOT be used.
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* Indicates required question
Parent Email:
*
Your answer
Who is reporting the absence? (Parent name)
*
Your answer
Relationship to Student:
*
Mom
Dad
Grandparent
Other:
Parent (relation) Contact Phone Number. Please use phone number on file at PHMS.
*
Your answer
Student's LAST name
*
Your answer
Student's FIRST name (**NOT PARENT NAME**)
*
Your answer
Date or Dates of Absence (s)
*
Your answer
Please select a reason for absence:
*
Illness
Illness with fever
Covid-19 positive test
Medical Appointment
Dental Appointment
Counseling Appointment
Vacation
Funeral
Observance of Religious Holiday
Personal
Injury
Other:
Grade Level
*
Choose
6th
7th
8th
Submit
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