CHS Full Day Absence

Please complete the form below. Required fields marked with an asterisk *

Date of absence*

Answer Required

Student's first and last name*

Answer Required

Student's grade*

Answer Required

Parent's first and last name*

Answer Required

Parent's phone number*

Number Required

Parent's email address*

Answer Required

Reason for absence (additional documentation may be required)*

Answer Required

illness/injury*

medical appointment*

religious holiday

college visit

personal/unexcused

Other:

*Please submit your doctor's note to the Attendance Office when you return to school.

By submitting this form with your signature below, you are confirming that you are the parent or legal guardian of the student.

Signature*

Signature Required

Please fix the highlighted areas below before submitting.