Bridgeway Student Attendance

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Please complete the following form any time your student is out for a partial or full day. If you have an excusal for your student, please send to rstanforth@bridgewayohio.org. Please complete by 7am the morning of the absence when possible.

Email *

Student Last Name *

Student First Name *

Date of Absence *

YYYY

Type of Absence *

Time In (if less than full day)

Time

Time Out (if less than full day)

Time

Reason for Absence *

Behavior Difficulties

Diagnosed Contagious Condition (Please let your student's classroom staff know specifics about contagious condition)

Death in Family

Fever

Health or Dental Appointment

Hospitalized

Illness with Stomach Discomfort

Other Illness or Injury

Religious Holiday

Sleep Issues

Vacation

Other:

Program *

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