Date of absence*
	mm/dd/yyyy

	I would like to report the absence of my child(ren):* Please include each child's full name.

	Student will be late or absent because*
	--Please Select--illnessfamily emergencyappointmentfamily vacationunforseen circumstancedeath in family

	For extended absences, please list dates

	I need to request homework for my student(s)Please note: teachers usually use their planning time to gather homework. We will do our best to have it ready by the end of the school day.
	Yes No

	Current teacher of my student(s)* Please select all that apply Select at least 1.
	Stephanie Hollinger    Cathy Kendig    Kelly Thompson    Kerry Beardsley    Rynelle Bircher    Ashley Cahill    Eve Wood    Sara Boedigheimer    Pat Cummings    Karen Harris    Linda Hoover    Johathan Wood    Sian Chamroen    Mia Ortiz    Patrick Storedahl    Mandi Ash    Janette Eckert    Erric Jones    Lorraine Larson    Kim Rajcich    Becky Crain    Kristen Dahle    Leah Workman    Marian Lemon    Jennifer Long    Heidi Yerrington    Stacey Smith