Please complete the following form if your student will be absent, late, or leaving early. Contact Attendance@StCroixLutheran.org if you have any questions.
Student Name
*
First Name
Last Name
Student Grade
*
6
7
8
9
10
11
12
Parent Name
*
First Name
Last Name
Parent Email
*
example@example.com
My student will be:
*
Absent
Late
Leaving Early
On This Date
*
-
Month
-
Day
Year
Date
Arriving at school around this time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Leaving school at this time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Reason
*
If illness related, has the student been tested for COVID-19?
Yes
No
Other
Symptoms
Fever
Cough
Difficulty Breathing
Loss of Taste/Smell
Sore Throat
Nausea
Vomiting
Diarrhea
Chills
Muscle Pain
Excessive Fatigue
New Onset of Severe Headache
New Onset of Nasal Congestion or Runny Nose
Other
Submit
Should be Empty: