Absence or Late Arrival

Please complete this form after 4:00 p.m. the day before the absence/late arrival or before 9:00 a.m. the morning of the absence/late arrival. (If they will be gone for Multiple Days, write that in the Details)
Teacher's last name:
For late arrival, please note reason and time of arrival.  If Absent, please note reason for absence. If your student is ill, and has seen a physician,  please be specific about your student’s diagnosed condition. (i.e. strep throat, pink eye, etc).   If your student is ill, but has not seen a physician, please be specific about your student’s symptoms. (i.e. fever w/temperature, cough, sore throat, headache, diarrhea, vomiting, etc.)  If absent for consecutive days, complete the form on the first day of the absence and include the date range of the absence.
Parent completing this form.