Attendance Form | Edison Academy

This attendance form is to be submitted by the parent/legal guardian only.

Please submit this form in English.

Date of Absence

Please check this box if you wish to report multiple day absences.

List specific dates of the absence

Student's First Name

Student's Middle Name

Student's Last Name

Student Grade Level

Course

Base High School

Reason for Absence

If reporting an ill student, include symptoms, especially if they have fever, nausea, vomiting, sore throat, and/or cough. If your student has a diagnosis from a healthcare provider, please include that information.

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Parent/Guardian Email Address

Please use the parent/guardian email address that is registered in SIS.

Parent/Guardian Signature

Parent/guardian, please use your device to write your signature above.

By submitting this form, you are confirming that you are the parent or legal guardian of the student

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Parent/Guardian Contact Information