JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Absence Verification
Val Verde High School
Please use this form to report your student's absence /
Utilice este formulario para informar la ausencia de su estudiante
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student's Full Name / Nombre Completo de Estudiante
*
Your answer
Student's Date of Birth /
Fecha de Nacimiento del Estudiante
*
MM
/
DD
/
YYYY
Date of Student's Absence /
Fecha de Ausencia del Estudiante
*
MM
/
DD
/
YYYY
Reason for Absence
*
Choose
Doctor or Dentist Appointment (MUST submit proof from Doctor/Dentist office to Attendance Office)
Illness (Non-COVID related)
Student Court Appointment (MUST submit proof to Attendance Office)
Funeral/Bereavement
Personal/Family Emergency
Transportation
Religious Observance (Limited to 3 days per school year)
Other
If you selected "Funeral/Bereavement", please indicate the relationship of the deceased to the student /
Si seleccionó "Funeral/Duelo", indique la relación del difunto con el estudiante
Your answer
If you selected "Other", what was the reason /
Si seleccionó "Otro", cuál fue la razón
Your answer
Parent/Guardian Name /
Nombre del Padre de Familia / Guardian
*
Your answer
Parent/Guardian Phone Number (MUST match what we have on file) /
Número de teléfono del padre/tutor (DEBERIA coincidir con el que tenemos en el archivo)
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Valverde.edu.
Report Abuse
Forms
