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Memorial Absence Reporting

Welcome to the Memorial Elementary School attendance office. Please complete this form to report your child's reason for absence, tardiness, or early release. Please note that if your child is a car rider or walker, you must notify the school by 2 p.m.

Parent / Guardian's Name*

Answer Required

Parent / Guardian's Contact Number*

Number Required

Parent / Guardian's Contact Email Address*

Answer Required

Student's Name*

Answer Required

Homeroom Teacher*

Answer Required

Absence Date Start*

Answer Required

Absence Return Date*

Answer Required

Check Applicable Category*

Answer Required

Absence

Tardy

Early Release

Car Rider / Walker

Reason for Student's Absence or Tardiness; or Time for their Early Release; or Who is Picking Up the Car Rider or Walker*

Answer Required

Pertinent Documents (e.g. doctor's note, etc.):

Answer Required

Choose a file or drag it here.

Parent / Guardian's Electronic Signature*

Signature Required

Confirmation Email

Confirmation Email *

Email Required