ABSENCE FORM

ABSENCE FORM
Student Information
Full Name

First NameLast Name
Grade
Parent / Guardian Information
Parent / Guardian Name

First NameLast Name
Email Address
example@example.com
Phone Number
Format: (000) 000-0000.
Absence Detail
Reason Why? If your student is out ill today, please check the symptoms your student is experiencing. Please check all that apply.

Other
Vacation Start Date (for Vacation notification only)
Expected Return Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Homework Request (Grades 1st to 6th)
Parent / Guardian Signature
High Point Academy | 1720 Kinneloa Canyon Road, Pasadena, CA 91107 | (626) 798-8989
Should be Empty: