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CCSD Student Absence Excuse Form
Select the school and provide the student's absence details, including an excuse or doctor's note.
Select School
*
Please Select
LaFayette High School
Valley High School
WF Burns Middle School
Eastside Elementary School
Huguley Elementary School
Shawmut Elementary School
Fairfax Elementary School
Inspire Academy
Attendance Person Email
example@example.com
Student's Full Name
*
First Name
Last Name
Start Date of Absence
*
-
Month
-
Day
Year
Date
Enter end date if student was out multiple days
-
Month
-
Day
Year
Date
Excuse Type
*
Parent's Excuse
Doctor's Excuse
Parent's Excuse: Type excuse in the box below.
*
Parent notes can be used to excuse up to 4 days per semester. If 4 days have already been excused with parent notes this semester, this excuse may not be accepted.
Upload Doctor's Note (optional)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
By submitting this excuse, I acknowledge that I have read and understand the attendance and truancy policies outlined in the Student Code of Conduct.
Submit Absence
Should be Empty: