Editing previous response:

Please fix the highlighted areas below before submitting.

REASON FOR ABSENCE NOTE / NOTA DE RAZON DE AUSENCIA

REASON FOR ABSENCE NOTE

The first day an absent student returns to school, the parent/guardian must provide the school with a signed "Reason for Absence Note", that identifies the reason and date for each student absence. Please complete the form below. Required fields marked *

NOTA DE RAZON DE AUSENCIA

Al siguiente dia que un estudiante regresa a la escuela despues de estar ausente, el padre o guardian debe completar "Nota de Ausencia", e identificar la fecha y razon por cada ausencia.

Student First Name / Primer Nombre del Estudiante*

Answer Required

Student Last Name / Apellido del Estudiante*

Answer Required

Homeroom / Salon

Answer Required

Date Absent / Fecha de la Ausencia*

Answer Required

Mobile Phone / Telefono*

Answer Required

Email / correo electrónico

Answer Required

My child is absent today because*

Answer Required

Student's illness/Enfernedad del estudiante

Observance of a religious holiday/Observacion religiosa

Death in the immediate family/Muerte en la familia inmediata

Family emergency (will speak to the main office)/Emergencia familiar (explique en persona)

Other:

Other situations beyond the control of the student, Explain: /Otras situaciones fuera del control del estudiante, Explique:

Answer Required

By clicking below, I certify all information is true and correct to the best of my knowledge. And also by clicking below, I certify I am the parent/guardian of the student, this is my electronic signature. Al hacer clic abajo, certifico que toda la información es verdadera y correcta a mi leal saber y entender. Y también al hacer clic abajo, certifico que soy el padre / guardián del estudiante, Esta es mi firma electrónica.*

Answer Required

Confirmation Email

Confirmation Email *

Enter your email address here if you'd like to receive a confirmation upon submitting the form.

Email Required