Attendance Form | Fairfax Academy

Date of Absence

Please check this box, if you are choosing to report consecutive day absences

Please list the consecutive absence dates

Student's First Name

Student's Middle Name

Student's Last Name

Grade

Course

Feeder School

Reason for Absence

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Alternative Phone Number

Parent/Guardian Email Address

Confirmation

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