Richard Mann Elementary - Attendance/Early Dismissal Form

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Please enter the following information below to report a student absence, tardy, early dismissal or end of day dismissal.

Email *

Student Name (First & Last) *

Parent/Guardian Name (First & Last) *

Parent/Guardian Phone Number (For questions or issues) *

Teacher Last Name *

Length of Absence *

Date of Absence, Tardy or Early Dismissal *

YYYY

If absence is multiple days, school return date is

YYYY

Time of Early Dismissal (if applicable)

Time

Reason for Absence, Tardy or Early Dismissal *

Sick - LIST SYMPTOMS IN NEXT AREA

Doctor Appointment

Dentist Appointment

Orthodontist Appointment

Travel

Other:

Required

Student Symptoms if Sick

If traveling, where to?

A copy of your responses will be emailed to the address you provided.

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