Excused Absence Reporting 2023/2024

Student Name Student Name First Last
Student Number
Must be a number less than or equal to 999999.
Grade

Grade 9th 10th 11th 12th
Date of ABSENCE- NOT birthday of student Date of ABSENCE- NOT birthday of student / MM / DD YYYY
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Phone where you can be reached during the day. Parent/Guardian Phone where you can be reached during the day. - ### - ### ####
Parent/Guardian Email
Type of Absence

Type of Absence Excused Absence
Reason for Absence
Brief Description

Absences for trips or other parental requests must be approved at least one (1) week in advance.
Upload Supporting Documentation

A copy of a subpoena or court summons must be submitted to the school if the absence is caused by any law enforcement agency.

Attach Files

Notes from doctor, court documentation, or any pertinent information.
Parent/Guardian please draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
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