Elementary School Absentee Form

Scholars who are absent from school have three (3) school days to clear their absence. This form must be completed by the parent/guardian of the absent student. Please note submitting this form does not guarantee the absence will be excused.

Please allow 2-3 days for the absence to be excused. Scholars who are absent for 4 or more consecutive days must provide a doctor's note to excuse the absence. In addition, if a Scholar is absent or has an early dismissal due to a doctor's appointment a doctor's note must be provided to excuse the absence.

For more information on policies pertaining to absences, tardies and more please visit the Scholar/Parent Handbook.

Scholar Name Scholar Name First Last
Grade Level
Date(s) of Absence
Has the Scholar been absent due to a doctor's appointment or for 4 or more consecutive school days?

Has the Scholar been absent due to a doctor's appointment or for 4 or more consecutive school days? Yes - Please upload the doctor's note below (You must attach a doctor's note in order for the absence to be excused). No
Reason for Absence
If you have a Doctor's Note or other official document that you'd like to submit to support the absence of your child, please upload file here:

Attach Files
Parent/Guardian Name Parent/Guardian Name First Last
Parent/Guardian Email
Parent/Guardian Signature (Draw your signature into the box below. Please note that this is a legal document. No one may sign in place of the parent or guardian.)

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Signature Date Signature Date / MM / DD YYYY