Attendance Form - Upper School

Online submission form for student absence, early release, or late arrival.

Submit an absence using our attendance form below, by calling 571-982-1350, or by emailing @email.

This attendance form is to be submitted by the parent/legal guardian only.

Date of Absence, Early Release, or Late Arrival

Consecutive Day Absences?

Please check this box if you wish to report consecutive day absences.

Consecutive Day Absence Dates

Please list the specific consecutive dates of the absence.

Student's First Name

Student's Last Name

Reason for Absence, Early Release, or Late Arrival

If reporting an ill student, include symptoms, especially if they have a fever, nausea, vomiting, sore throat, and/or cough. If your student has a diagnosis from a healthcare provider, please include that information.

Please indicate whether student will be absent or tardy. If tardy, please indicate the time student is expected to be at school.

Grade

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Alternative Phone Number

Not required.

Parent/Guardian Email Address

By submitting this form, you are confirming that you are the parent or legal guardian of the student

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FCPS

Attendance Form - Upper School

Online submission form for student absence, early release, or late arrival.

Parent/Guardian Contact Information