Attendance - Reporting an Absence

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

Are you submitting a full day absence or a late arrival?

Full Day Absence

Late Arrival

Date of Absence

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.

Date of Late Arrival

What is the expected late arrival start time?

Student's First Name

Student's Last Name

Grade Level

Teacher

Reason for Absence/Late Arrival

Please be specific about the reason why your child will not be attending school today. If your reason for submitting a student absence is related to sickness, please indicate whether your child has any of the following symptoms:

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Parent/Guardian Email Address

Parent/Guardian Signature

Parent/guardian, please use your device to write your signature above.

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

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FCPS

Attendance - Reporting an Absence

Parent/Guardian Contact Information