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You must have JavaScript enabled to use this form.
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
- Select -
9th Grade
10th Grade
11th Grade
12th Grade
Other/NA
Course
- Select -
Apprenticeship
Auto Collision Service
Automotive Technology
Construction Tech (Spring Village)
Cosmetology
Criminal Justice
Culinary Arts
Cyber: Cloud Computing
Cyber: Computer Systems Technology
Cyber: Network Administration
Cyber: Oracle
Cyber: Routing and Switching CISCO
Cyber; Security+ Capstone
Electrical Construction & Engineering
HVAC & Refrigeration
Teachers for Tomorrow
Veterinary Science
Base High School
- Select -
Annandale High School
Bryant High School
Centreville High School
Chantilly High School
Edison High School
Fairfax High School
Falls Church High School
Hayfield Secondary School
Herndon High School
Justice High School
Lake Braddock Secondary chool
Langley High School
Lewis High School
Madison High School
Marshall High School
McLean High School
Mountain View High School
Mount Vernon High School
Oakton High School
Quander Road School
Robinson Secondary
South County High School
South Lakes High School
West Potomac High School
West Springfield High School
W.T. Woodson High School
Alternative Based School
Other
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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