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 circumstancecar problem

	Date of absence*
	mm/dd/yyyy

	For extended absences, please list dates

	Current teacher of my student(s)* Please select all that apply Select at least 1.
	Oden    Born    Kirkbride    Kukas    Morris    Rinear    Davis    Farr    Rue    Creasey    Oas    Powell    Wasson    Kauffman    Sears    Ziegert    Blume    Ostling    Harris    Burleson    Pettit    Woods

	I need to request homework for my student(s) due to extended absence.Please note that our 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