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2023-24 Student Absence Form
Begin with the email address of the parent/guardian completing this form.
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Email
*
Your email
Student First Name
Your answer
Student Last Name
Your answer
Grade Level
Choose
PK3
PK4
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Date of Absence
MM
/
DD
/
YYYY
Full Day or Partial Day
Full Day = any absence greater than 4 hours of the school day. Partial Day = any attendance in excess of tardy and up to 4 hours of the school day. Partial day will typically be calculated as a "1/2" day of attendance.
Full Day
Partial Day
Clear selection
Are you planning or need multiple days of absence?
IF your student will be absent MULTIPLE days, complete this section for documentation with the school office. We request you additionally communicate with and provide notification to home room and special area teachers.
Yes
No
Clear selection
If, you are planning or need multiple days, enter the start date.
Skip this question if it does not apply.
MM
/
DD
/
YYYY
If you are planning or need multiple days, enter the end date.
Skip this question if it does not apply.
MM
/
DD
/
YYYY
Have you notified your homeroom teacher, as well as your special area teachers (Art, Music, P.E., Spanish or Latin, Athletic Coaches)? If not, please do so immediately upon submission of this form.
Yes
No
Clear selection
Reason for Absence
Your answer
First name of parent/guardian completing this form.
Your answer
Last name of parent/guardian completing this form.
Your answer
A copy of your responses will be emailed to the address you provided.
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