*
Required
Student Absence Reporting Form
Parents & Guardians: If your student will be absent from school due to family travel/vacations, the absence(s) will be unexcused. Please note, unexcused student absences generate an automated phone call and parent square notification. Thank you.
Parent Handy Hint: If student absences will be consecutive, only one form submission is necessary. Please list the dates of absence in the additional comments box below.
Student ID (If known)
Student Last Name
*
required
Student First Name
*
required
Date of absence:
*
required
(mm/dd/yyyy)
Is your child sick?*
Yes
No
Did your child have an appointment?*
Yes
No
What is the reason for your child's absence?
*
required
What symptoms does your child have?*
fever over 100.4
cough
vomiting
diarrhea
other
Additional Comments: Please list consecutive absence dates below if applicable, thank you.
Please send a confirmation email to the address below*: