Attendance Form Online submission form for student absence or late arrival This attendance form is to be submitted by the parent/legal guardian only. Date of Absence/Late Arrival Consecutive Day Absences? Please check this box if you wish to report consecutive day absences. Consecutive Absence Dates Please list the specific consecutive dates of the absence. Student's First Name Student's Last Name Teacher Reason for Absence/Late Arrival Late Arrival? Please note reason and time of arrival. Absence? Please note reason for absence. --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 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). Parent/Guardian Contact Information Parent/Guardian First Name Parent/Guardian Last Name Phone Number Alternative Phone Number Parent/Guardian Email Address By submitting this form, you are confirming that you are the parent or legal guardian of the student
