Worthingway Attendance

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This form is for a parent or guardian to report a student absent from Worthingway Middle School. Please answer each question and be sure to click submit at the bottom. Remember, students must be reported absent each day they are absent unless it is already noted on this form.

*NOTE: If you are requesting same day early release, or special requests after 1 p.m., please call the school at 614-450-4300.

Guardian E-mail

Guardian Phone Number (xxx-xxx-xxxx) *

Student's Last Name *

Student's First Name *

Student's Grade *

6th

7th

8th

Date of Absence *

YYYY

Reason for absence *

Personal Illness

Illness in Family

Death of Relative

Family Vacation

Medical or Dental Appointment

Court

Family Emergency (please explain in notes)

Religious Holiday

Tardy (please explain in notes)

Other (please explain in notes below)

Notes (please use this section for additional explanation or to add multiple day absences)

Submit

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