Student Extended Absence Reporting Form
To ensure we are accurately reporting absences to the ministry please fill out the form below.
Absence date:
*
-
Month
-
Day
Year
Date
Expected Date of Return (If known, leave blank if unknown and give explanation in the box below):
-
Month
-
Day
Year
Date
Student's Name:
*
Grade/Class:
*
Please Select
Kinder - Ms. Desiree
Kinder - Ms. Julie
Grade 1 - Ms. Robyn
Grade 2 - Ms. Sarah
Grade 3 - Ms. Erin
Grade 4/5/6 - Mr. Ben
Reason for absence:
*
Illness or injury
Appointment
Emergency
Cultural activity
Vacation
Other - please explain in the provided section below
Please give a short explanation for reason for absence:
I confirm that I am the parent/guardian of the above named student:
*
Confirmed - parent/guardian
Submit
Should be Empty: