LHS Report an Absence (less than 3 days)

Student Name(Required)

Please input your student's name.

Absence Date(Required)

Please input your student absence dates.

Times of Absence (if Specific Times chosen above)

Please input the specific times of absence if student will only miss partial day.

Reason(Required)

Please indicate reason for absence. Provide details as appropriate.

Guardian Name(Required)

Please input guardian name making the absence request.

Guardian Phone Number(Required)

Please input your best contact phone number.

Guardian e-mail Address

Attendance