Absent &amp; Tardy Form

Parent Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Name of student being reported (please submit one form for each student) REQUIRED Please fill out this field. Please enter valid data.

Student Grade REQUIRED Please fill out this field.

Date of attendance being reported REQUIRED Please fill out this field. Please enter a date.

My child will be: REQUIRED Tardy Absent In-person - Full Day Absent In-Person- Morning Absent In-Person - Afternoon Picked up early Picked up and returned to school for appointment Please fill out this field.

If leaving during school hours or arriving late, please list time: Please enter valid data.

Absence/Tardy Category: REQUIRED Student Illness Family Member Illness Medical or Other Appointment Family Funeral Quarantine/Isolation/Positive COVID Exposure Other Please fill out this field.

Please give a specific and detailed reason for the absence/tardy: REQUIRED Please fill out this field. Please enter valid data.

Other: Please indicate additional symptoms Please enter valid data.

Onset: What is the date/time of the onset of these symptoms? Please enter valid data.

Absent & Tardy Form

Please complete this form by 8:30 am