Absence Reporting Form

ATTENDANCE FORM TO REPORT STUDENT ABSENCE, TARDY, AND EARLY DISMISSAL

Please complete Attendance Form in its entirety.

Your child’s attendance is key to a successful school year. It is important for students to keep up with their attendance and be at school every day! We understand that emergencies do come up which would impact coming to school. If students continually miss days throughout the school year, we will work with our students to help keep them on track with attendance and provide support when they need to catch up after being absent.

Student's First Name *

Student's Last Name *

Student Grade *

Parent or Guardian's First Name *

Parent or Guardian's Name *

Phone number where parent or guardian can be reached. *

Email of parent or guardian submitting this absence report. *

Date of absence *

Will your student be absent more than 1 day during this absence? *

Yes

No

Unsure

Last day student will be absent, if known.

Type of Absence *

What is your other type of absence? *

Student will ...

Arrive late

Depart Early

Out all day

Leave and return to school later in the day

What is the estimated time that the student will arrive? *

What time will you be picking up your student? *

What is the estimated time they will be returning to class? *

Explanation *