Student Attendance Notification Form Student Attendance Notification Form Please complete this form anytime a student: will NOT attend school arrives late needs to sign OUT early for an appointment, etc. needs to sign IN from an appointment, etc. Date of Absence, Sign Out, or Sign In*Please select the date below for which your child will be absent, signing out, or signing in. MM slash DD slash YYYY Parent/Guardian Information* First Last Email* Student Information* First Last Grade*Pre-K3Pre-K4Junior KindergartenKindergarten123456789101112Reason for Completing Form*Absent All DayArriving LaterSign InSign OutReason for Absence*What is the reason for your child's absence?OtherIllness: NOT able to complete work from homeIllness: ABLE to complete work from homeAbsence/Quarantine (able to complete work from home)Absence/Quarantine (not able to complete work from home)Medical Visit (required documentation from physician for Grades 9-12)College Visit (required documentation from college)Driver's License (required documentation from DPS)BereavementIs absence related to any of the following?*Select any applicable illness if related. If not, select "No, Illness is NOT related."Strep ThroatStomach FluInfluenzaCOVID/COVID-like symptomsMonoHand Foot and Mouth DiseaseLiceOther (*Please Explain Below)No, Illness is NOT relatedPlease select any symptoms your student is experiencing: Minor Cough Fatigue Headache Scratchy Throat Congestion or runny nose Fever or chills Shortness of breath or difficulty breathing New loss of taste or smell Muscle or body aches Nausea or vomiting Diarrhea Major Cough Painful sore throat Other (Details) Date Diagnosed by PhysicianIf your child has been diagnosed by a physician, please indicate that date below. MM slash DD slash YYYY Reason for Late ArrivalWhat is the reason for your child's late arrival?TardyMedical Visit (required documentation from physician for Grades 9-12)College Visit (required documentation from college)Driver's License (required documentation from DPS)BereavementOtherReason for Sign Out/InWhat is the reason your child's signing in/out?TardyMedical Visit (required documentation from physician for Grades 9-12)College Visit (required documentation from college)Driver's License (required documentation from DPS)BereavementOtherTime of Arrival or Sign In*Please indicate the time of your child's late arrival or sign in. Hours : Minutes AM PM AM/PM Time of Sign Out*Please indicate the time your child needs to be signed out. Hours : Minutes AM PM AM/PM Other Explanation*Please briefly explain the nature of your child's absence.
