Attendance Reporting

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Please use this form to report attendance notes received from parents or guardians. Please save all notes sent in for documentation purposes in each students file.

Teacher Name: *

Last name only

Student Information

First Name: *

Last Name: *

Days Absent

Please enter the dates the student was absent

Day One: *

Please mark the first day the student was out.

YYYY

Day Two:

Please mark the second day the student was out.

YYYY

Day Three:

Please mark the third day the student was out.

YYYY

Extended Absence

If a student is absent for more than three days and there has been no communication from parent/guardian, please attempt to contact parent/guardian and check on student. If no contact can be made please email me and I will look at the students attendance history.

Extended Absence:

If student was absent for more than three days, please indicate the day they returned to school.

YYYY

Reason for Absence:

Please indicate why the student was absent: *

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