Report an Absence

Please fill out this form to submit an absence, late arrival, or early dismissal. The school may contact you to confirm.

When reporting an extended absence, please be advised that it is the student/parent responsibility to contact teacher(s) for any missed work, to reschedule missed tests, and/or to request extensions on assignments that may be due during planned time away.

Student Information

Last name*

First name*

Grade*

Person Reporting Absence

Name*

Phone number*

Email address*

Relationship to student*

Please explain*

Absence Information

Student will be*

Absent

Late

Dismissed Early

Date*

End Date

(if student will be absent for more than one day)

Arrival time

Dismissal time

Return time

(if student will be returning to school)

Reason*

Please explain*

This field should be left blank