Attendance Absence Notification (2012-2013) FOR EXCUSED ABSENCES ONLY NOT FOR CHECKING STUDENTS OUT OF SCHOOL - ONLY FOR EXCUSED NOTES FROM PARENTS	20130519205831 2013/05/19 08:58 PM

STUDENT INFORMATION AND REASON FOR ABSENCE

Student Name (LAST NAME)

First Name

Student ID

Grade 9 10 11 12

Gender M F

Beginning Date

Ending Date

Reason for Excused Absence

Periods (0,1,2,3,4,5,6) or All Day

PARENT INFORMATION

Parent/Guardian Name (First and Last Name)

Parent/Guardian Phone

Parent Email Address