Hillside Student Absence or Tardy Report
Please use this form to report late arrivals or absences ONLY.

DO NOT use this form to report early dismissals. Please send a signed Early Dismissal note - not an email - with your child to give to their teacher.
Student Last Name *
Your answer
Student First Name *
Your answer
Grade *
Absent or Tardy? *
Date(s) of Absence or Tardy *
MM
/
DD
/
YYYY
Reason for Absence or Tardy *
Your answer
Name of parent reporting absence/tardy *
Your answer
Phone number where parent can be reached *
Your answer
Parent daytime email address *
Your answer
Submit
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