Daily Student Absence, Arriving Late, and Leaving Early Reporting Form
Parents please complete DAILY all questions on the form and complete the form individually for each student being reported absent, arriving late, or leaving early for appointments.  Thank you.
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Student Last Name *
Student First Name *
Student's Grade *
Elementary Student's Homeroom Teacher
Please specify the type of request *
Please indicate the reason for your student's absence, late arrival, or leaving early.
If your student is sick, please check all the symptoms that your student has experienced in the last 24 hours: *
Required
If your student is leaving early, please specify the time.
Guardian Last Name, First Name *
Guardian Cell Phone Number *
Is there anything else you would like to share with us?
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