Absent and Tardy Form

Student's Namerequired

First Name

Last Name

Student's Grade

Start of Absence/Tardy

Must contain a date in M/D/YYYY format

Last Day of Absence/Tardy

Must contain a date in M/D/YYYY format

Excuse Type

Reason - The state law requires an explanation from the parent in each case of absence or lateness Kindly state the reason below. Response must be at least three characters in lengthrequired

Time if Early Dismissal

Time if Tardy

Parent Signature - A parent or guardian signature is required for the absence/excuse to be considered valid. By typing your name below you are consenting to the absence/excuserequired

Date

Must contain a date in M/D/YYYY format

Phone Number

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