Student Attendance Form
Student Name (if multiple students, separate by comma)
*
First Name
Last Name
Preschool Homeroom Class(es)
PS.1 - Mrs. Moore
PS.2 - Mrs. Hamm
PK.1 - Ms. Pendleton
PK.2 - Mrs. Frimmel
TK - Mrs. Church / Mrs. Fitzgerald
Kindergarten-5th Grade Homeroom Class(es)
K - Ms. Allen
K - Ms. Rojas
1st - Mrs. Klipp
1st - Mrs. Ulrich
2nd - Mrs. Durbala
2nd - Ms. Marvin
3rd - Mrs. Johnson
3rd - Mrs. Ryan
4th - Mrs. Fairbanks
4th - Mrs. Vega
5th - Mrs. Hebert
Middle School Homeroom Class(es)
6th - Ms. Alesna
6th - Mr. Rangel-Santos
7th - Mrs. Kime
7th - Mrs. Anderson
8th - Mrs. Spraglin
8th - Mr. Power
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
Doctor/Dentist Appointment
Other
Please submit Doctor's Note
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Hot Lunch: If your child(ren) is absent, and has a hot lunch ordered, please let us know how you like it handled by selecting one of the options below:
Donate the lunch
Give the lunch to a sibling (please list the sibling's name below)
Pick up the lunch on the next school day (if not, it will be discarded)
Sibling's name to receive lunch
Parent Name
*
First Name
Last Name
Email
*
example@example.com
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