Student Absence Form
Parent's Name*
First Last
Parent Primary Phone*
Parent Email*
Child''s Name*
First Last
Grade Level*
Additional Siblings Absent
Dates of Absence
Date Absent From:
MM slash DD slash YYYY
Date Absent To:
MM slash DD slash YYYY
Reason for Absence*

Excused Absences

The following will be considered excused absences: illness/doctor’s appointment/clinic visit; death in the family-Immediate family which includes siblings, parents, and grandparents; ceremony for student; school activity; inclement weather; etc. Family emergencies will be taken into consideration with proper documentation. Ex: Immediate family members in hospital, etc.

Unexcused Absences

The Arizona Department of Education states, if an absence occurs relating to any term or condition that is not specifically designated herein, the absence shall be counted as unexcused. Ex.: when a child comes to school with no documentation of absences; babysitting, missed the bus, or going to town, tardiness, suspension, etc.

Student Absence Form

Dates of Absence

Excused Absences

Unexcused Absences

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