JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LES/OSC Attendance Form
Please use this form for reporting the absence of your LES/OSC student. You can call or email the LES/OSC office directly at (608)592-3842 or lesoscoffice@lodischoolswi.org.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
1. First and Last Name of LES/OSC student who will be absent:
*
Your answer
2. Name of the person filling in this form and your relationship to the student.
*
Your answer
3. Grade of Student
Choose
OSC
3rd Grade
4th Grade
5th Grade
4. Please provide the phone number we can call if we have any questions.
*
Your answer
5. Date(s) that your student will be absent.
*
Your answer
6. What is the reason for the absence?
*
Your answer
7. If your student is arriving to school late/leaving early, please let us know which one is occurring and what time they will arrive or be picked up.
Your answer
8. If your child is ill, what are the symptoms? Do you have any confirmed diagnosis from a doctor? Please list diagnosis (Strep Throat, Influenza A, RSV, COVID, ear infection, etc.)
Your answer
9. Anything else you want us to know?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of School District of Lodi.
Report Abuse
Forms
