Absence or Late Arrival

This attendance form is to be submitted by the parent/legal guardian only.

Date of Absence or Change

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)

Student First Name

Student Last Name

Grade

Homeroom Teacher

Details regarding today's Absence or Late Arrival

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's Name

Parent completing this form.

Parent's Email Address

Parent's Contact Number:

By submitting this form, you are confirming that you are the parent or legal guardian of the student

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FCPS

Absence or Late Arrival