Absentee Form

• Parent First & Last Name*
• Parent Email Address*
   
• Student First & Last Name*
• Student Grade:*
  >PreschoolKindergartenGrade 1Grade 2Grade 3Grade 4Grade 5Grade 6Grade 7Grade 8Grade 9Grade 10Grade 11Grade 12
• Late or Absent?*
  Late

  Absent
• Date of Late or Absence*
  MM

  /

  DD

  /

  YYYY
• What time will your child be arriving?*
• What time will your child be departing?*
• Reason for Absence*
  Please select one of the following
  Appointment

  Bereavement

  Illness

  Medical Appointment

  Parent Excused

  Vacation
• Reason for Partial Absence*
  Please select one of the following
  Appointment

  Medical Appointment

  Parent Excused
• Symptoms:
  Why do we need this? We are required to report any serious or contagious illnesses to our local public health unit and contact them for guidance when attendance records indicate that more than 10% of the school population is absent with similar symptoms.
• When will your child be back at school?
  MM

  /

  DD

  /

  YYYY
• Please detail any relevant information below: