Submitting this form will alert the office that your child is absent. It will also serve as an excuse note for the absence. For multiple days absent please fill out the NOTE section at the end of this form.

Chronic/extended illness – Some students require extended time out of school due to
acute or chronic illness. This type of absence requires documentation from a medical
provider. Students that anticipate missing two or more days of school monthly and/or
who accrue a defined pattern of absences due to chronic illness shall be required to
provide documentation from a physician to support those absences.