2025-26 Al-Falah Academy Absence Form

2025-26 Al-Falah Academy Absence Form

For Students & Staff
Assalamualaikum,

We are deeply concerned about the Health & Safety of our Students & Staff. For this reason, we're asking you to complete this form to help us keep our community safe.

Please complete this form, to the best of your knowledge, each time there is an absence from an Al-Falah Academy school day. If this is due to an illness, details about the illness are very important to ensure the safety of all of our students and staff.

***If your child will be late or needs to be picked up early for any reason, you must complete the following form. (Click Here for Al-Falah Late Arrival / Early Dismissal Form)***

Jazak Allahu Khair for your cooperation,
ICN Al-Falah Administrative & Health Teams
Are you a Parent or Staff Member?*

Staff Member Name*

First NameLast Name
Staff Member Email*
example@example.com
Staff Member Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Absence*

MonthDayYear
Date
Staff Team*

Parent Full Name*

First NameLast Name
Parent Email*
example@example.com
Parent Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Date of Absence*

MonthDayYear
Date
Number of Children Absent*
Student 1 Name*

First NameLast Name
Student 1 Grade*
Student 2 Name*

First NameLast Name
Student 2 Grade*
Student 3 Name*

First NameLast Name
Student 3 Grade*
Student 4 Name*

First NameLast Name
Student 4 Grade*
Student 5 Name*

First NameLast Name
Student 5 Grade*

Reason for Absence*
Should be Empty: