Attendance-Tardy Form

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

Absence or Tardy

Date of Absence or Tardy

Consecutive Absence Dates

Please list the specific consecutive dates of the absence.

Consecutive Day Absences?

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

Student's First Name

Student's Last Name

Grade

Homeroom Teacher

Reason for Absence or Tardy

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