Creede School District

1) Parent / Guardian Name

2) Phone Number

3) Email

4) Student's Name

5) Grade

6) Start Date of Absence

7) End Date of Absence

8) Reason for Absence

9) Partial Day Absence?

Yes

No

10) If Partial Day Absence...

Please specify the estimated time leaving and returning. (please put in NA if not a partial day absence)

11) Special Instructions

(ie please have student ready to pick up at ......., or, I will call when I arriveso you can call them out of class)

Forms