LHS Absence Form
Please fill out this form to request an excused absence.
Reason for Absence
*
Please Select
Illness
Family Emergency
Doctor Appointment
Other
Date of Absence
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student Name
*
First Name
Last Name
Student Grade
*
Supporting Documents
Browse Files
Cancel
of
Additional Comments
Parent/Guardian Name
*
First Name
Last Name
Submit
Should be Empty: