Absence Excuse Form

Please fill out the following information about your student's absence. You do NOT need to send in a written note if you fill this form, however, Doctor's notes must be handed into the school. Thank you!

Use this form when your child is absent from school. For 3 days in a row, a doctor's note is needed. After 10 instances, a doctor's note is requires.

Name of Student
First Last
Room #/ Grade
Please choose your child's room number/ teacher/ grade.
Date of Absence - must be mm/dd/yyyy format * Required
Date Format: MM slash DD slash YYYY

Please click on the date your child was absent.
Date of Absence - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY

Please click on the an additional date if needed.
Date of Absence - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY

Please click on the an additional date if needed.
Date of Absence - must be mm/dd/yyyy format
Date Format: MM slash DD slash YYYY

Please click on the an additional date if needed.
Reason for Absence * Required
- Illness/ sick
- Family Emergency
- Death in the Family
- Out of town
- Approved Religious Holiday
- Required Court Appearance
Please check the reason your child was absent from school.
Comments
Parent/Guardian Name * Required
First Last
First and Last name of legal guardian.
Consent * Required
I certify that I am the legal parent/guardian of above named student.
Phone
Email
Enter Email Confirm Email

Please complete email to receive confirmation!