Use this form to report if you child was or will be absent from school. We can only accept notes from parents and guardians. You may also submit a note directly to
Child's First and Last Name
Additional Children and Grades
Single Day Absence
Please indicate the date the child was/will be absent OR move to the next question if the absence involved/will involve multiple days.
Date of Absence
Multiple Day Absences
Please list the first and last dates the child was/will be absent for a multi-day absence. If only absent for a single day, please answer the previous question.
First Day of Absence
Last Date of Absence
Reason for Absence
Medical Appointment (Doctor, Dental, Counseling, Bloodwork, Eye Doctor, etc.)
Are there other details we need to know?
By adding your name below, you acknowledge you are the parent/legal guardian of the child(ren) listed in this note. Unauthorized users of this form may face disciplinary action.
Relation to Child
Send me a copy of my responses.
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