Report an Absence

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

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

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