Absence Request 2023-24

1
Today's Date
Date
Month
Day
Year
2
Parent or Guardian Name* This field is required.
First Name
Last Name
3
E-mail* This field is required.
An email confirmation will be sent to this address.
4
Student's Full Name* This field is required.Do not use nick names.
First Name
Last Name
5
Student's Grade
Select One:
Select One:
KDG
1st
2nd
3rd
4th
5th
6
Type of Absence:* This field is required.
Select One:
Select One:
Illness.
Illness with a doctor's note (attach an image or scanned copy).
Vacation/Educational Trip (please submit 10 days in advance and specify how the trip is educational).
Family Emergency
Court Date
Religious Holiday
Home District Closed (No Bus Transportation)
Other (enter reason below).
7
Please explain reason for absence.* This field is required.Or include why your trip is educational.
8
Supporting Documentation.* This field is required.Please attach doctor's note, court paperwork or other relevant documentation.
Drag and drop files here
Select files to upload
Max. file size: 1.0MB
Cancelof
9
1st Date of Absence* This field is required.
Month
Day
Year
10
Do you need to excuse more than one day?* This field is required.
Yes
No
11
2nd or Last Date of Absence (for consecutive days)
Month
Day
Year
12
Do you have other dates to excuse for the same reason selected above?* This field is required.If there is a different reason for other absences, please submit a new form.
Yes
No
13
3rd Date of Absence
Month
Day
Year
14
4th Date of Absence
Month
Day
Year
15
5th Date of Absence: if you need additional days, please fill out a new form.
Month
Day
Year
16
Last Date of Absence.
Month
Day
Year
17
Total School Days Requesting for this Absence
Please note, a total of 10 Excused Absences are allowed for each school year. Educational Trips count toward this 10 day allowance. If your child has more than 10 days, only those with doctor's notes can be approved. Excessive days beyond 10 may result in reports for truancy.
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