Electronic Blue Card Form for Pine Road Elementary School Students
Please use this form to electronically submit an absence. This form must be submitted within 5 days of the student's return to school or an "unlawful" absence will be recorded.

Please select from the Acceptable/Lawful Absence Reasons listed below.

Examples of UNLAWFUL Absence Reasons: Shopping trips, oversleeping, car trouble, missed the bus, pleasure trips/sporting events, illegal absences from school.
Email address *
Name of Parent/Guardian Completing Form *
Your answer
Student's First Name *
Your answer
Student's Last Name *
Your answer
Grade of Student *
First Date of Absence *
MM
/
DD
/
YYYY
Last Date of Absence, if absence was over multiple consecutive days. (Non-consecutive dates require a separate submission.)
MM
/
DD
/
YYYY
Reason for absence *
Once you receive an email confirmation that the form has been submitted, no further action is necessary.
Thank you!
A copy of your responses will be emailed to the address you provided.
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