Attendance Form

Please complete the form below to submit your child(ren)'s absences to our front office. In the reason field, please include your child's teacher and grade level. Thank you!

Please be specific about the reason why your child will not be attending school today.

Indicate whether your child has any of the following symptoms:

Feeling feverish or chills
Fever greater than or equal to 100.4 F
Headache (not due to another health condition, hunger, menstrual cramps stress, or injury)
A new cough (not due to another health condition)
Shortness of breath or breathing difficulties (not due to diagnosed respiratory condition or if different than normal pattern of chronic condition)
A new sore throat (not due to another health condition)
Congestion or runny nose (not related to allergies or health condition)
Fatigue (more tired than normal or sudden onset)
New muscle pain (not due to another health condition or that may have been caused by a specific activity such as physical exercise))
New loss of taste, smell, or appetite
Abdominal pain (not due to hunger, constipation, injury, or stress)
Nausea, vomiting or diarrhea

This attendance form is to be submitted by the parent/legal guardian only.

Absence or Tardy

Absence

Tardy

Date of Absence/Tardy

Consecutive Day Absences?

Please check this box if you wish to report consecutive day absences.

Consecutive Absence Dates

Please list the specific consecutive dates of the absence.

Student's First Name

Student's Last Name

Grade

Teacher

Please select your child's teacher from the menu below.

Reason for Absence

If your student is ill and has seen a physician, please be specific about your student’s diagnosis, such as strep throat or pink eye. If your student is ill and has not seen a physician, please be specific about your student's symptoms: fever, vomiting, rash, digestive issues, sore throat, cough, etc.

Thank you!

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Alternative Phone Number

Parent/Guardian Email Address

By submitting this form, you are confirming that you are the parent or legal guardian of the student

Contact Information

Alternatively, you can also:

call the attendance line at (703) 531-4040, or
email the front office at @email.

When emailing an absence or tardy, please include your child's first and last name and the name of his/her teacher. Thank you!

Office Hours

Monday - Friday: 8:00am - 4:30pm

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