Absence Form

Absence Excuse Form



Student's Name: 

Student's Grade: 

Date of Absence (first day of absence): 

Additional Date(s) of Absence:

Please note that an electronic absence form will not be accepted for any student accumulating 10 or more total absences or more than three consecutive days. A physician's note must be submitted to the school for these absences.


Reason for the Absence:


Parent/Guardian Email Address: 

Please provide a valid email address. Excuse form submissions will not be accepted from a student email account.


Parent/Guardian Signature:

By entering my name in the box below, I attest that I am the parent/guardian of the above-named student.

     Electronic Signature:       Date: