Mountain View - Student Absence Notice 2024-25

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

We see that your child has been marked absent today. The school must be notified prior to 8:30 am on the day of absence. To make reporting the absence more convenient for you, please complete this online form so that you do not need to call our office or send in a note. We are happy to update our records from this notice. This information is only seen by the office staff and the teacher. Thank you.

Parent Email *

Today's Date *

YYYY

Date of Absence *

YYYY

My Child's Last Name *

My Child's First Name *

Parent/Guardian First and Last Name *

Parent/Guardian Phone Number *

My Child's Teacher *

Miss Dunaway Foulk - TK

Mrs. Houghton (Mrs. Smith) - TK

Mrs. Kutcher - Kindergarten

Mrs. Dirickson Lewis - Kindergarten

Mrs. Cienfuegos - Gr 1

Miss Muklevicz- Gr 1

Mrs. Reitz - Gr 1

Mr. Potter - Gr 2

Mrs. Thieme - Gr 2

Mrs. Hubbard - Gr 2/3

Mrs. Davidson - Gr 3

Mrs. Gelineau - Gr 3

Ms. Diederich - Gr 4

Mrs. Mantor (DiCicco) - Gr 4

Mrs. Nava - Gr 5

Mrs. DeFazio Canter - Gr 5

Ms. McGuire

Reason for Absence *

Illness (If Illness is checked, please complete Smptoms(s) Section below.)

Doctor/Dental Appointment

Funeral Attendance

Court Appearance

Personal

Vacation

Other - Please explain below:

Illness Symptom(s) Section - Check All That Apply

Sore Throat

Congestion/Runny Nose

Nausea/Vomiting/Diarrhea

Headache

Fatigue/Muscle or Body Aches

Fever (99.5 or Higher)

Cough

Difficulty Breathing

Loss of Taste/Smell

None of the above, please contact me to discuss

Other - Please explain below

Do you have further information to share or questions? Please use this section

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Simi Valley Unified School District. Report Abuse

Forms