Holmes Attendance Verification Form
Please Note:  All fields marked with a red asterisk are required fields.

To be completed by parent/legal guardian only.

Please fill in PARENT/GUARDIAN email address below.
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Email *
PARENT/GUARDIAN Name *
In this box, please type YOUR first and last name.
Acknowledgement *
Please check yes below to acknowledge the following statement: "By checking the signature box, I certify that I am the legal guardian of this child and all of the information provided to Livonia Pubic Schools School District is accurate"
Required
STUDENT First Name *
STUDENT Last Name *
Grade *
Reason for Absence *
Please select the reason for your child's absence from the list below.  This data is required by county regulations.
How many days do you expect your student to be absent? *
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