Student Attendance Form
Parent/Guardian Information
Information will be checked based on database, if not a match, absence will not be excused.
Name
*
First Name
Last Name
Daytime Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Student Information
Student Name
*
First Name
Last Name
Student Grade
*
Please Select
9th Grade (Freshmen)
10th Grade (Sophomore)
11th Grade (Junior)
12th Grade (Senior)
Student ID Number
Reason for Absence
Date of Absence
*
/
Month
/
Day
Year
Date
Length of Absence
*
Full Day
Half Day
Other
Is the student sick?
Yes
No
If student is sick, please describe symptoms. If student is not sick, please describe the reason for the absence.
*
Anything else we need to know?
Signature
*
Signature indicated that this form has been completed by a parent/guardian.
Record Attendance
Record Attendance
Should be Empty: