O'Rourke Middle School Attendance Form
This is to be completed only by the student's legal parent/guardian. Please note that O'Rourke Middle School administration reserves the right to contact you directly to verify the legitimacy of this form. Thank you for your cooperation.
If using this form, you do NOT need to call in the absence or submit a note when the student returns.
Date of Absence/Late Arrival
(Please do not use this form for Early Dismissals)
Please enter the date for the student's attendance, whether it is for today or a future date.
Student's First Name
Student's Last Name
Please provide any necessary medical documentation (i.e. Doctor's note pertaining to illness, injury, surgical procedure, etc.) for the student to bring to the Nurse's Office upon his/her return to school.
Death in the Family
Comments (Please do not use this form for early dismissals).
A copy of your responses will be emailed to the address you provided.
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This form was created inside of BHBL.