Report an Absence

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Learner Info

Learner First Name *

Learner Last Name *

Full Name

Grade Level *

6

7

8

Type of Absence *

Multiple Days

Full Day

Morning Only

Afternoon Only

Reason *

Briefly explain reason for absence

Date of Absence *

Select date

Dates of Absence

Absence Start *

Select the first date of absence.

Absence End *

Select the last date of absence.

Parent/Guardian Info

Parent/Guardian Full Name *

Parent or Guardian submitting form. NOTE: MUST BE STUDENT'S PARENT OR LEGAL GUARDIAN​​​

Relationship *

Parent

Legal Guardian

Phone *

Email *

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