Student Absence Reporting Form
Please fill out to report your child's absence
Student's First and Last Name *
Your answer
Student Grade *
Required
Date of Absence - Format mm/dd/year *
MM
/
DD
/
YYYY
Reason of Absence *
Required
Explanation of Absence *
Your answer
Parent/Legal Guardian - By typing your name below and submitting this form, you are certifying you are the parent or guardian of the student named above, and understand this constitutes your signature. Intentional misrepresentation may have legal or school discipline consequences. *
Your answer
Contact Phone Number *
Your answer
Contact Email (optional)
Your answer
Submit
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