Attendance Form

Translate this page

Submit an absence using our attendance form below or by calling 703-924-8137.

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

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

A Note about Confirmation of Your Online Attendance Submission

Thank you for your Edison Academy School attendance form submission. If you hit the submit button and got the confirmation screen your submission was successful. Please note: Due to recent and ongoing systemwide updates, you may not get the confirmation email that you are accustomed to receiving. During this update period, if you would like an email receipt of your submission, please contact our Academy office at @email and we will be happy to forward you a copy of your submission as quickly as possible. We thank you for your patience as FCPS continues to improve our webforms.