Report an Absence

REPORT AN ABSENCE
Please note that the School may contact you in order to confirm your child's absence.
Student Information
Student Name*

First NameLast Name
Grade*
Parent / Guardian Information
Parent / Guardian Name*

First NameLast Name
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Absence Detail
Absence From Date*

MonthDayYear
Date
Absence End Date*

MonthDayYear
Date
Reason Why*
Attach Note, If Applicable

Click to Upload
Maximum upload size: 516MB Cancelof
Authorization Signature
By signing below, I certify that I am the Parent or Legal Guardian of the student named above and that all the information provided is true and correct to the best of my knowledge.
Parent / Guardian Signature*
Legacy Christian Academy

27680 Dickason Drive
Valencia, CA 91355
Phone: 661.257.7377
Should be Empty:

REPORT AN ABSENCE