CVLA K-6 Attendance Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Submit this form to report ABSENCES by 9:30 am.

Please DO NOT use this form to report a late arrival or request an early dismissal.

This form is to be completed only by the student's legal parent/guardian. It is each student’s basic responsibility as a member of the school community to be on time and attend all classes. Absences will be recorded in attendance records and shared with home districts. *Please note that CVLA administration reserves the right to contact you directly to verify the legitimacy of this form. Thank you for your cooperation.

*Please note: Information will be shared with staff members on a need-to-know basis only. We encourage you to reach out to your child's classroom teacher directly for information on missed assignments and instruction.

Email *

Date: Enter the date your child will be absent. Click the calendar to select the date. *

YYYY

Name of Parent/Guardian submitting attendance (first name last name) *

LAST name: Student's LAST name *

FIRST name: Student's FIRST name *

GRADE/TEACHER *

Reason *

Illness

Injury

Doctor Appointment (for child indicated above)

Dentist/Orthodontist Appointment (for child indicated above)

Medical Appointment (for parent/guardian)

Overslept

Bereavement

Court

Religious

Vacation/Travel

Weather related

Connectivity/Technical Issues

New York State Test Participation

Other:

Other: Please provide any additional information that might be pertinent to your child's absence.

Send me a copy of my responses.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of NERIC. Report Abuse

Forms