Digital "Blue Note"/Attendance Communication

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Use this form to report:

Lates

Absences

Early Pick ups

Changes to End of Day Dismissal

IMPORTANT NOTICE: This form cannot be used after 2:00 PM for same day requests! Please call the office at 315-638-6124.

Child's TEACHER *

Pick Up and/or Absent Date *

YYYY

Child's Name (LAST, FIRST) *

Pick ONE *

Absent from School

Late Today

Early Pick Up

Will be picked up by parent/guardian at 3:15 (instead of taking the bus)

Other (Specify in Explanations section)

If PICKING UP EARLY, indicate the time below. (This is required for early pick up.)

Time

Explanation (This is required.)

-LATE due to ________________

-ABSENT due to _______________

-EARLY pick up due to _____________ by ___(who will be picking child up.)

Example(s):

Late due to oversleeping.

Absent due to sickness (fever).

Early pick up due to dentist appointment.

Not taking bus at 3:15. Parent/Guardian will pick up.

Needs a bus pass

Who will be picking up the child? (For early pick up or dismissal) Choose N/A if reporting an absence. *

If reporting a PREVIOUS ABSENCE, indicate the date below. (This is required for previous absences.)

YYYY

Phone Number (if we need to reach you) *

Parent/Guardian Name (LAST, FIRST) *

Other Information:

Submit

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