Attendance Form

Full/Consecutive Day Absence, Late Arrival, Early Release

Submit an absence using our attendance form below or by calling our attendance office at 703-619-2828.

This attendance form is to be submitted by the parent/legal guardian only.
Please submit this form in English.

Are you submitting a full day absence, a late arrival, or early release?

Full Day

Late Arrival

Early Release

Date of Full Absence, Late Arrival, or Early Dismissal

Consecutive Day Absences?

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

Consecutive Absence Dates

Please list the specific consecutive dates of the absence.

What is the expected late arrival start time?

Please check in the student at the main office when you arrive to the building.

What time will the student be leaving early?

Please come into the building, present a valid ID, and sign the student out.

Will the student be returning to school?

Yes

No

At approximately what time will the student be returning at?

Please check in the student at the main office when you arrive to the building.

Student's First Name

Student's Last Name

Student Grade Level

Homeroom Teacher

Reason for Absence

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

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Alternative Phone Number

Note required.

Parent/Guardian Email Address

Parent/Legal Guardian Signature

Parent/guardian, please use your device to write your signature above.

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

Full/Consecutive Day Absence, Late Arrival, Early Release

Attendance Form

Parent/Guardian Contact Information