Report an Absence/Tardy Only

Report an Absence/Tardy Only

Please complete all the information below. If Student Services has any questions, a staff member will contact the student's parent/guardian for clarification.

For any Illnesses please attach a doctor's note.

Pre-arranged absences
If an unusual circumstance occurs in which the student needs to be out of school for more than three (3) consecutive days, the student should complete a Pre-Arranged Absence Form. The form must be completed no less than one week prior to the absence. It is the responsibility of the student to have each teacher sign the form as a notification of his/her upcoming absence. Teachers will provide work for the student whenever possible. It is expected that a student will either complete the schoolwork missed prior to leaving, or submit assignments to the appropriate teachers immediately upon returning to school as arranged with each teacher in advance of the absence.

Student Name* Student Name* First Last
Student Number*
Student's Grade

Student's Grade 9th 10th 11th 12th
Parent/Guardian Name* Parent/Guardian Name* First Last
Parent/Guardian Contact Phone Number*
LATE TO SCHOOL NOTIFICATION

If a student arrives after 7:10am they must report to student services in the main office to receive a pass. Please complete this section of the form to excuse their tardy.
Date of Tardiness to School Date of Tardiness to School / MM / DD YYYY
Reason for Tardiness/Late Arrival to School.
Of note, not all reasons will be marked as EXCUSED
ABSENT ALL DAY Notification

This is in which you should enter the reason as student is absent if they are not at school for the ENTIRE DAY.
First Day of Absence First Day of Absence / MM / DD YYYY
Last Day of Absence Last Day of Absence / MM / DD YYYY
Reason for Absence(s)*

Reason for Absence(s)* Illness (Please provide doctor's note) Major illness in the immediate family Death in the immediate family Religious holiday Religious instruction, conference, institutes, etc. Court order/subpoena Other
Upload a File Dr.'s note here.

Attach Files
Please note that fraudulently filling out this form will result unexcused absence and possible discipline.

Parent/Guardian's signature here. Draw your signature into the box below.

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.