Randolph Attendance Form
Please Note: All fields marked with a red Asterisk are required fields.

To be completed by parent/legal guardian only.

Student First Name
Your answer
Student Last Name
Your answer
Grade
Teacher Last Name
Your answer
Your name
In this box, please type your first and last name.
Your answer
Acknowledgement
Please check yes below to acknowledge the following statement: "By checking the signature box, I certify that I am the legal guardian of this child and all of the information provided to Livonia Pubic Schools School District is accurate"
Required
Reason for Absence
Please select the reason for your child's absence from the list below.
Is the reason for absence due to a communicable disease?
If not, select "No." Otherwise, please select the disease your child has been diagnosed with. This question is required to comply with county standards.
Date of Absence
If absence is multiple dates, please select the first absence date.
MM
/
DD
/
YYYY
Multiple Day Absence Ends
If absence is multiple dates, please select the last absence date.
MM
/
DD
/
YYYY
Submit
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