CLS Form
Student's Name
*
First Name
Last Name
Child's Teacher:
*
K - Giamportone, Doreen
K - Lane, Kathy
K - Torres, Katie
1 – Attanasio, Kristen
1 – Heitman, Patricia
1 – Yarnell, Jenna
2 – Kepler-Veach, Cara
2 – Ramsey, Shaun
2 – Yearwood, Elizabeth (Fleischauer, Mary)
3 – Craft, Meghan
3 – Morrissey, Tennille
3 – Morrissey, William
4 – Clerkin, Kristen
4 – O’Brien, Erin
4 – Sneed, Kim
4 – Tait, Julie
5 – Collins, Chantal (Darling, Rachel)
5 – Simmons, Jill
5 – Stiverson, Scott
Person completing this form:
*
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email Address
example@example.com
Date(s) this note applies:
*
Select one of the following:
*
Late Arrival
Dismissal Change
Bus Change
Absence Excuse
Other
Late Arrival Reason:
Dismissal Change
Will be picked up by another person
Will be picked up in gym at regular dismissal time
Person's Name
Pickup Time
Hour Minutes
AM
PM
AM/PM Option
Bus change
Will be going home with another student
Will be going home on regular bus / route
Other student's name
Bus #
Date of Absence
-
Month
-
Day
Year
Date
Reason for Absence
Please Explain
Additional notes and information:
Submit
Should be Empty: