1-Day Absence Form

1
Student Name* This field is required.
First Name
Last Name
2
School* This field is required.
Please Select
Please Select
Arrowhead Elementary
Bothell High School
Canyon Creek Elementary
Canyon Park Middle School
Cottage Lake Elementary
Crystal Springs Elementary
East Ridge Elementary
Fernwood Elementary
Frank Love Elementary
Hollywood Hill Elementary
Inglemoor High School
Innovation Lab HS
Kenmore Elementary
Kenmore Middle School
Kokanee Elementary
Leota Middle School
Lockwood Elementary
Maywood Hills Elementary
Moorlands Elementary
North Creek High School
Northshore Learning Options
Northshore Middle School
Ruby Bridges Elementary
Secondary Academy for Success (SAS)
Shelton View Elementary
Skyview Middle School
Sorenson ECC
Sunrise Elementary
Timbercrest Middle School
Wellington Elementary
Westhill Elementary
Woodin Elementary
Woodinville High School
Woodmoor Elementary
Other
3
Enter school name
4
Student ID & Grade
Please enter Student ID
Please Select
Please Select
Pre School
KG
1
2
3
4
5
6
7
8
9
10
11
12
Select Student Grade
5
Date Of Absence
Date
Month
Day
Year
6
Expected Return Date
Date
Month
Day
Year
7
Reason for Absence
Please Select
Please Select
Illness
Vacation
Family Emergency
Appointment
8
Symptoms of Illness* This field is required.
9
Expected arrival time to school
10
Does your student ride smaller program buses?
YESNO
11
What is your student bus number?
Should be Empty: