Absence Request 2023-24

1
Today's Date
Date
Month
Day
Year
2
Not all reasons are allowable for an excused absence. The following are allowable excuses for a student absence:

Illness, including if a student is dismissed by designated school staff during school hours for health-related reasons.

Obtaining professional health care or therapy service rendered by a licensed practitioner of the healing arts in any state, commonwealth or territory.

Quarantine.

Family emergency.

Recovery from accident.

Required court attendance.

Death in family.

Click here for all Attendance Policies and Procedures.
3
Parent or Guardian Name* This field is required.
First Name
Last Name
4
E-mail* This field is required.
An email confirmation will be sent to this address.
5
Student's Full Name* This field is required.Do not use nick names.
First Name
Last Name
6
Student's Grade* This field is required.
Select One:
Select One:
KDG
1st
2nd
3rd
4th
5th
7
Type of Absence:* This field is required.Please review the Attendance Policy for allowable excuses.
Select One:
Select One:
Illness.
Illness with a doctor's note (attach. copy).
Appointment (attach copy)
Vacation/Educational Trip (please submit 10 days in advance and specify how the trip is educational).
Other (enter reason below).
8
Please explain reason for absence.* This field is required.Or include why your trip is educational.
9
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
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10
1st Date of Absence* This field is required.
Month
Day
Year
11
Do you need to excuse more than one day?* This field is required.
Yes
No
12
2nd or Last Date of Absence (for consecutive days)
Month
Day
Year
13
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
14
3rd Date of Absence
Month
Day
Year
15
4th Date of Absence
Month
Day
Year
16
5th Date of Absence: if you need additional days, please fill out a new form.
Month
Day
Year
17
Last Date of Absence.
Month
Day
Year
18
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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