Attendance Form | Rose Hill Elementary School

This attendance form is to be submitted by the parent/legal guardian only.

Date of Absence

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.

Student's First Name

Student's Last Name

Student Grade Level

Select Your Child's Homeroom Teacher

Reason for Absence (please be specific and provide details)

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

Not required.

Parent/Guardian Email Address

By submitting this form, you are confirming that you are the parent or legal guardian of the student

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FCPS

Parent/Guardian Contact Information