PFHS Attendance Reporting 2019-20
Please complete all questions on this form.

Early dismissals need to be submitted by sending an email to or via fax to 571-434-3201
Email Address *
Your email address serves as your electronic signature.
Student First Name *
Student Last Name *
Student ID Number *
Grade *
Parent/Guardian First & Last Name *
Relationship to Student *
What would you like to report/request? *
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