Charlton Heights Elementary Attendance Form

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Submit this form to Report ABSENCES AND LATE ARRIVALS by 9:00 AM.

Do not use this form to request an early dismissal.

This form is to be completed only by the student's legal parent/guardian. It is each student’s basic responsibility as a member of the school community to be on time and attend all classes. Daily telephone calls will be made to parents or guardians to confirm unreported absences. Absences and late arrivals will be recorded in attendance records. *Please note that Charlton Heights School administration reserves the right to contact you directly to verify the legitimacy of this form. Thank you for your cooperation.

Homework can be picked up at the main office after 3:15 p.m. **Please note: Per district policy, teachers are not required to provide homework for vacation absences. Please email your child's teacher by 10:00 A.M. to request homework.

**The information you share in this form is confidential and shared only with the office staff and nurse.**

Email *

Date: *

Enter the Date your child will be Absent or Late. Click the Calendar to select date.

YYYY

Student LAST Name *

Student FIRST Name *

Status *

Single Day Absence

Late Arrival

Long-term absence

Long-Term Absence:

Last day your child will be absent:

YYYY

Grade/Teacher *

Reason (You may select more than one choice) *

Illness

Doctor Appointment

Dentist/Orthodontist Appointment

Eye Dr. Appointment

Death in the Family

Religious

Vacation/Travel

Missed Bus/Overslept

Medical (Injury/Non-illness)

Personal

Other:

Required

Select all symptoms present if your child is out sick:

N/A student not sick

Covid Positive

Strep Throat - DIAGNOSED by a Medical Provider

Influenza A - DIAGNOSED by a Medical Provider

Influenza B - DIAGNOSED by a Medical Provider

Fever (100.0 degrees or higher)

Cold Symptoms

Headache

Sore throat

Nausea or Vomiting or Diarrhea

Other:

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