Report an Absence (revised 07/17/26)
Parents and Guardians -

Please use this form to record your child's absence.  Your answers will be reported to the school office, health aide and your child's teacher.  Please use one form for each child.

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Today's Date *
MM
/
DD
/
YYYY
Child's First and Last Name *
Who is your child's homeroom teacher?
First and Last Name of Person Reporting Absence *
Relationship to Student *
Phone Number (format xxx-xxx-xxxx) *
Are you reporting a continued absence? *
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