ONLY LEGAL GUARDIANS may submit this form and ONLY PARENT EMAILS are accepted. Please go over each section and mark the appropriate options.
Student ID Number
Parent / Guardian Name. By typing my full name below, I certify under the penalty of perjury under the laws of California that the information is true and correct.
Date of Absence? (One absence date per form please)
Reason for Absence:
Illness / Doctor / Dental appointment
Mental Health Issues
For technical issues, please describe the issue so we can forward your information to the helpdesk. You may also reach out to them directly at email@example.com.