Attendance Form

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Submit a full day student absence, late arrival, or early dismissal. using our attendance form below or by calling 703-645-6666.

Please be specific about the reason why your child will not be attending school today. If your reason for submitting a student absence is related to sickness, in the "Reason for Absence" blank space on the form below, please indicate whether your child has any of the symptoms listed.

You may submit this absence in either English or Spanish.

This attendance form is to be submitted by the parent/legal guardian only.

Are you submitting a full day absence, a late arrival, or early dismissal?

Full Day

Late Arrival

Early Dismissal

Date of Absence, Late Arrival, or Early Dismissal

Consecutive Day Absences?

Please check this box if you wish to report consecutive day absences.

Consecutive Absence Dates

Please list the specific consecutive dates of the absence.

If reporting a covid related absence, please do not complete this form. Instead, please call the main office at 703-645-6600.

What is the expected late arrival start time?

Please check the student in at the attendance office when you arrive to the building.

What time will the student be leaving early?

Please come into the building, present a valid ID, and sign the student out.

Will the student be returning to school?

Yes

No

At approximately what time will the student be returning at?

Please check the student in at the attendance office when you arrive to the building.

Reason for Absence

Please leave a specific message about why your student is not attending today. Be sure to include symptoms if they are ill, especially if they have fever, nausea, vomiting, sore throat and/or cough. If your child has a diagnosis from a health care provider, please include that information.

If reporting an ill child, please identify any of the symptoms below.

Feeling feverish or chills | Fever of 100.4 F or higher | Headache | New muscle pain | A new cough | A new sore throat | Shortness of breath or breathing difficulties | New loss of taste, smell, or appetite | Congestion or runny nose | Fatigue (more tired than normal or sudden onset) | Abdominal pain | Nausea, vomiting or diarrhea

Student's First Name

Student's Last Name

Student Grade Level

Teacher

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Alternative Phone Number

Not required.

Parent/Guardian Email Address

Please use the email address that you have registered through SIS.

Parent/Guardian Signature

Parent/guardian, please use your device to write your signature above.

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

A copy of this form submission will be sent to the email address you provided above.

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FCPS

Attendance Form

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Looking to Submit a Temporary Transportation Change Instead?

Parent/Guardian Contact Information