Student Name (if multiple students, separate by comma)
*
First Name
Last Name
Homeroom Class(es)
*
PS.1 - Mrs. Hoyle
PS.2 - Mrs. Moore
PK.1 - Ms. Pendleton
PK.2 - Mrs. Frimmel
TK - Mrs. Fitzgerald
K - Ms. Rojas
K - Mrs. Pastor
1st - Mrs. Klipp
1st - Ms. Fletcher
2nd - Mrs. Salazar
2nd - Ms. Marvin
3rd - Mrs. Ratschan
4th - Mrs. Fairbanks
5th - Mrs. Hebert
5th - Ms. Alesna
6th - Mr. Rangel-Santos
6th - Mrs. Kime
7th - Ms. Vasquez
7th - Mrs. Jordan
8th - Mr. Hoyack
Date
*
-
Month
-
Day
Year
Date
End Date (if student will be out more than one day)
/
Month
/
Day
Year
Date
Tardy/Absence/Leaving Early
*
Will be Tardy
Will be Absent
Will be Leaving Early *Please note, per the handbook, students will NOT be called down to the office until you arrive on campus
If Tardy/Leaving Early, what time will student(s) arrive/depart?
Reason
*
Illness
Other
Please submit Doctor's Note
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Parent Name
*
First Name
Last Name
Email
*
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