Editing previous response:

Please fix the highlighted areas below before submitting.

Absence Reporting Form

To report an absence, please complete the form below. Please fill out one form per student. If requesting absent homework, please complete form before 10am each day absent. Questions: Call school office 310/371-0416.

Required fields marked with an asterisk *

Student Name*

Answer Required

Date of Absence*

If more than one day, please note in reason below

Answer Required

Type of absence*

Answer Required

Full Day

Morning Absence (return by 11:30am)

Afternoon Absence (leave after 11:30am)

Reason for absence*

Sick, Travel etc.

Answer Required

Have you contacted your student(s) teacher?*

It is not necessary, the office will report absence

Answer Required

Yes

I would like my student's classwork/homework sent:

This is for a full day's absence only

Answer Required

ECP (sent to afterschool care and available to pick up from dismissal until 6pm)

Sent home with sibling or other student named below

No classwork/homework sent at this time

Name of sibling or other SJS student absent classwork/homework to be sent to:

First and last name

Answer Required

Contact Information

First Name

Answer Required

Last Name

Answer Required

Mobile Phone

Number Required