Report a Student Absence
Report a Student Absence
Calusa Elementary School
Parent/ Guardian
Parent/ Guardian
First
Last
Email
Student Number
Student Name
Student Name
*
First
Last
Grade
*
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Teacher's Last Name
Start Date of Absence
Start Date of Absence
*
/
MM
/
DD
YYYY
End Date of Absence
End Date of Absence
*
/
MM
/
DD
YYYY
Reason for Absence
*
Reason for Absence
Illness or injury
Major illness in the immediate family
Death in immediate family
Religious Holiday
Religious instruction, conference, institutes, etc.
Other
Other
Please upload the following that apply:
Doctor's Notes
Attach Files
Additional Information
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