Absence questionnaire

Notify our team if your child is being picked up or dropped off at different times. If they are sick let us know so we can inform their teachers.

Student Name

First Name

Last Name

Parent Name

First Name

Last Name

Date My Child Will Be Absent

YYYY

Child's Grade Level

Parent Cell

(###)

###

####

Parent Email

Please state if you are picking up your child early, dropping off late due to an appointment, or if they will be absent.

Time

If picking up early or dropping off late, please state the expected time.

Hour

Minute

Second

Reason

For illness, what symptoms does your child have? For doctors appointments or other activities please specify.