HS Tardy/Absence Form

Reporting an illness-related absence?

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

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This field is for validation purposes and should be left unchanged.

Parent Name (first and last) *(Required)

Student Name (first and last) *(Required)

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)

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

Reason/Further Details

Enter Your Email Address