Report Student Absence

Student Absence Report
Student Name*
 Student's Grade Level*
Grade 7
Grade 8
 Date(s) of Absence (mm/dd/yyyy)*
Please indicate the date, or list of dates, that the student will be absent from school.
 Reason for Absence:*
Death in the Family
Family Emergency
Religious Observance
Court Obligation
Other, please specify
 If your child is out due to illness, for the purposes of tracking illness such as flu or other medical conditions, please indicate symptoms (e.g. fever, sore throat, cough, diahrea, etc.)
This confidential information is shared only with the school nurse and local health department to assist in monitoring health conditions impacting the school community.
 Homework: Students or parents can track daily assignments via Genesis. Log into the student or parent portal to Genesis and click on Course Pages tab to see class assignment postings for each teacher. Contact teachers directly via email or voicemail for additional information or assistance.
 Name of person reporting absence*
Please enter your first and last name.
 Your relationship to student*
Other, please specify
 Contact information (phone)
Please enter a phone number where you can be reached if there are any questions regarding the student's absence.
 Contact information (email address)
Please enter an email address if contact via email is preferred.
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