ATTENDANCE NOTE
ATTENDANCE NOTE
(To be used for Absences, Tardiness, and Early Departures. (All
information must be provided.) Please Print Clearly.
(To be used for Absences, Tardiness, and Early Departures. (All
information must be provided.) Please Print Clearly.
Today’s Date ___________________________________________
Today’s Date ___________________________________________
Date(s) classes were missed: ________________________________
Date(s) classes were missed: ________________________________
Student Name: __________________________________________
Student Name: __________________________________________
Student I.D. Number (6 digits) __________________
Student I.D. Number (6 digits) __________________
□9
Grade:
□ 10
□
11
□ 12
□9
Grade:
Classes missed due to:
Classes missed due to:
□
□
□
□
□
□
Full Day Absence
Tardiness:
Time In: __________________
Early Departure: Time Out: __________________
□ 10
□
11
□ 12
Full Day Absence
Tardiness:
Time In: __________________
Early Departure: Time Out: __________________
Reason: ________________________________________________
Reason: ________________________________________________
________________________________________________
________________________________________________
________________________________________________
________________________________________________
Parent/Guardian/Authorized Person’s
Parent/Guardian/Authorized Person’s
Printed Name: _____________________________________
Printed Name: _____________________________________
Signature: ________________________________________
Signature: ________________________________________
Parent/Guardian Daytime Phone: ____________________________
Parent/Guardian Daytime Phone: ____________________________