Absent & Tardy Form

*Absences of more than 3 days required a medical note.  

Please complete the form below:

Student's Name *
Student's Name
Start of Absence/ Tardy *
Start of Absence/ Tardy
End of Absence/ Tardy *
End of Absence/ Tardy
Time if Early Dismissal
Time if Early Dismissal
Time if Tardy
Time if Tardy
A Parent of Guardian signature is required for the Absence/ Excuse to be considered valid. By typing your name below you are consenting to the Absence/ Excuse.
Date *
Date
Phone Number *
Phone Number