* Required

Please complete this form to notify the school office that your child will be or is absent.

Parent/Guardian Information

First namerequired

Last namerequired

Daytime phone numberrequired

Student Information

First namerequired

Last namerequired

Graderequired

Date of absencerequired (mm/dd/yyyy)

Length of absence*

Full-day Half-day Custom Time

Timeframe when the student will be absentrequired

##:## - ##:## AM/PM

Is student sick?*

Yes No

If student is sick, please describe symptoms, if student is not sick, please describe the reason for absence.required

Attach File

If you have a doctor's note, you can attach it here.

Max file size: 10 MB

Anything else we need to know?

Please send a confirmation email to the address below*: