Absent & Tardy Form*Absences of more than 3 days required a medical note. Please complete the form below: Student's Name * First Name Last Name Student Grade Level * Start of Absence/ Tardy * MM DD YYYY End of Absence/ Tardy * MM DD YYYY Excuse Type * Absent Tardy Early Dismissal Reason * Time if Early Dismissal Hour Minute Second AM PM Time if Tardy Hour Minute Second AM PM Parent Signature * A Parent of Guardian signature is required for the Absence/ Excuse to be considered valid. By typing your name below you are consenting to the Absence/ Excuse. Date * MM DD YYYY Phone Number * (###) ### #### Thank you!
