Student Absence Form

                                                                                                                                                               

Today's Date*
Name of Parent/Guardian reporting absence (if not parent/guardian, please explain below): *
First Name
Middle
Last Name
Date(s) of Absence (if different date than today's date)
Student's Name *
First Name
Middle
Last Name
Grade *
Type of Absence *
For 5th grade or under, I am requesting HW if time allows for this arrangement (pick-up at end of school day;) 6th Gr. & up, check RenWeb
Explanation of Absence (required) *
- 4 or more sequential days absent due to illness requires a doctor's note
- Regardless of an absence being excused or unexcused, 6th-12th grade max absences per year = 15 days, Elementary = 25 days
- Check Family Handbook under Forms & Resources for absences that are excusable and all Attendance policies
*