Report an Absence

Today's Date*: Date(s) of Absence*: Student First Name*: Student Last Name*: Grade Level*: Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade Name of Person Reporting Absence*: Relationship to Student*: Reason for Absence*: Phone Number to Verify Ex: 123-123-1234*: Email to Verify*: Doctor's Note Required for Illness or Injury 3+ Days (PDF, PNG or JPG File Only): By clicking Submit, I declare that I am the responsible party for this student and the absence reported is legitimate. This form is designed as a communication tool and does not automatically excuse your student's absence. Reference the student handbook for excused absence guidelines. Please contact [email protected] with any questions. *Please press Submit button only once.