SJS Daily Attendance Form
Please fill out this form on the day of to report your child's absence from school due to health or non-health related reasons.  Please indicate Tardy, Absent for the full day, Early Dismissal or Dismissal Changes & submit this form by 1PM. All responses will be recorded and teachers/nurse notified. If after 1PM please call and then email the office at sjsoffice@sjsdanbury.org. Please include your Childs name and grade in the subject line.
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LAST NAME of STUDENT *
FIRST NAME of STUDENT *
DATE (Report on the DAY OF ONLY) *
MM
/
DD
/
YYYY
GRADE *
Required
PARENT OR GUARDIAN LAST NAME *
PARENT OR GUARDIAN FIRST NAME *
PARENT OR GUARDIAN EMAIL *
PARENT OR GUARDIAN CELL PHONE NUMBER *
My student will be: *
Required
Absent, Late arrival or early dismissal - please explain reason: *
Please indicate time arriving if tardy or dismissal time if early:
Time
:
Please indicate DISMISSAL CHANGE for today here:
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Additional Notes - (if pickup other than parent, etc)
I understand that by submitting this form as a parent/guardian I am responsible for my student's daily attendance. *
Required
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