Batterman - Reporting Student Absences

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*ONLY A PARENT OR GUARDIAN MAY FILL OUT THIS FORM.

*PARENT/GUARIDAN CONTACT INFORMATION MUST MATCH INFINITE CAMPUS RECORDS.*

Nevada law requires that attendance notes be submitted within 3 days of the student's return from the absence.

Non-medical (circumstance) absences are limited to 10 per school year.

PARENT/GUARDIAN Full Name *

PARENT/GUARDIAN Phone Number
*

STUDENT Last Name *

STUDENT First Name *

Grade Level *

PreK

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

Primary/Intermediate Autism

TEACHER Name *

Date Absent: (First Day) *If more than 3 days have passed, we cannot excuse the absence*
*

YYYY

Date Absent: (Last Day) *If more than 3 days have passed, we cannot excuse the absence*
*

YYYY

Reason for Absence:

* Non-medical (circumstance) absences are limited to 10 per school year.

Medical Professional: Doctor/Dentist Appointment or illness, seen by a doctor (*DO NOT SELECT until you have emailed a copy/screenshot of the medical note to pachee@nv.ccsd.net)

Medical: Illness, not seen by doctor

Other/Circumstance: Non-medical reason for absence *Non-medical (circumstance) absences are limited to 10 per school year.

If you selected Other/Circumstance above:

Please provide a short description. (i.e. family emergency, travel)

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