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Attendance Reporting Form/
Formulario de Informe de Asistencia
District policy is 48 hours to excuse an absence.
If
your student is planning an absence for
3 or more days in length please fill out a Pre-arranged Absence Form. If your student believes they were marked incorrectly in a class they need to talk to the teacher.
1 student per form. THIS FORM IS FOR PARENT OR GUARDIAN USE ONLY.
* Indicates required question
Email
*
Record my email address with my response
Parent/Guardian First and Last Name
Nombre y apellido del padre/tutor
*
Your answer
Student First and Last Name /
Nombre y apellido del estudiante
*
Your answer
Phone number
Numero de telefono
*
Your answer
Type of absence
Tipo de ausencia
*
Absent/Ausencia
Tardy/Tarde
Early Departure/Salida Anticipada
Student ID number/
Número de identificación del estudiante
Your answer
Start Date/
Fecha de inicio
*
MM
/
DD
/
YYYY
End Date/
Fecha final
MM
/
DD
/
YYYY
Start and End time of absence
Hora de inicio y fin de la ausencia
*
Your answer
Reason for Absence or Tardiness/
Motivo de la ausencia o tardanza
*
Choose
Sick
Medical Appointment-Cita medica
Dental/Ortho Appointment-Cita dental/ortopedia
Physical Therapy Appointment-Cita de fisioterapia
Mental Health Appointment-Cita de salud mental
Counseling/Therapy-Consejería/Terapia
College Visit-Visita a la universidad
DMV Appointment-Cita del DMV
Passport Appointment-Cita de Pasaporte
Court Appointment-Cita de corte
Religious Observation-Observación Religiosa
Other(Please specify below)-Otro (especifique cuál es el motivo a continuación)
Other Reason for Absence/
Otro motivo de ausencia
Your answer
Do you want to be contacted about this absence?
¿Quiere ser contactado acerca de esta ausencia?
Yes-Sí
No-No
Clear selection
Do you want a note sent to the student letting the teacher know they need to leave today?
Yes
Clear selection
A copy of your responses will be emailed to .
Submit
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