Student Prearranged Absence Form
Let us know about all planned absences for your child(ren).
Email address *
Parent Name (First & Last) *
Your answer
Parent Phone Number *
Your answer
Child's Name (or, if more than one, list names of all children) *
Your answer
Begin Date *
MM
/
DD
/
YYYY
End Date *
MM
/
DD
/
YYYY
For a partial day absence, include a pick up and/or drop off time
Your answer
Reason for Absence *
Your answer
Reminder: Please let your child's teacher(s) know about the absence. You can contact them by email or in person. *
Submit
Never submit passwords through Google Forms.
This form was created inside of Lake City Community School.