LCA Attendance Incident Form

Direction: Please complete all of the following items and click submit form in order to send your information to the attendance secretary. A follow-up phone call may be necessary to verify your report.

Today's Date:

Date or Dates of Attendance Incident if not today:

Student's Name:

Grade:  Homeroom Teacher:

Type of Absence:
 I am requesting Homework (Grades 4 and below only) :


Explanation of absence (required):

Parent's Name: 
Family #:

Notes:

  • Please read the School Attendance Policy for details click here.
  • Family number will be required in order to avoid a confirmation call. Ask the office for this number.
  • Absences for illness of 5 days or more will require a doctors note.
  • All absences must be explained to assist in determining whether the absence is excused.
  • Prearranged absences, 1-2 days of a personal nature, 3-5 days for travel/vacation, will be considered if the request is submitted one week or more prior to the absence
  • Homework may be requested for prearranged absences and long term absences. Check box above.