K-8 Absence Form

REPORT AN ABSENCE FORM
Please note that the School may contact you in order to confirm your child's absence.
Student Information
Student Name*

First NameLast Name
Classroom*
Parent Information
Parent/Guardian Name*

First NameLast Name
Email Address*
example@example.com
Phone Number
Absence Detail
Reason Why*
Absence From Date*

MonthDayYear
Date
Absence End Date*

MonthDayYear
Date
Authorization Signature
Authorization*

By signing below, I certify that I am the Parent or Legal Guardian of the student named above and that all the information provided is true and correct to the best of my knowledge.
Parent/Guarding Signature*

Clear
The signature box may not work properly on some devices. Touch the box first and then make a signature.
Trinity Lutheran School | 515 S. MacArthur Blvd., Springfield, IL 62704-2435 | 217.787.2323
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REPORT AN ABSENCE FORM