Reporting an illness-related absence?

Complete the tardy/absence form below. If the absence is health-related, also notify the appropriate school nurse.

JH Tardy/Absence Form

Parent Name *(Required)

First Last

Student Name *(Required)

First Last

Student Grade *(Required)

Please choose an option below: * (1 required)(Required)

Tardy

Absent all day

Leaving early

Please select the date of the tardy/absence *(Required)

If an early out, please specify what time the student needs to leave:

Reason/Further Details *(Required)

Enter your email address *(Required)

CAPTCHA

Parent Name

Student Name

Student's Teacher

Student Grade

Please choose an option below (1 required)

Tardy Absent all day Leaving early

Date of the tardy/absence

If leaving early, what time should the student leave?

Reason/Further Details

Your Email Address