HFCS Student Absence Form
Kindergarten through 8th Grade
Parent / Guardian Name
*
First Name
Last Name
Student Name
*
First Name
Last Name
Please select Grade
*
Please Select
Kindergarten
1st
2nd
3rd
4th
5th
6th
7th
8th
Date of Absence or Dismissal / Arrival
*
-
Month
-
Day
Year
Date
Reason for Absence / Early Dismissal
*
Please Select
Sick
Sick with Fever
Doctor Appt Full Day
Dental Appt Full Day
Personal / Family
Early Dismissal
Late Arrival
Please select reason
For Dismissal / Arrival - Enter Time
Hour Minutes
AM
PM
AM/PM Option
Signature
*
Comments
Record Attendance
Should be Empty: