Report an Absence

To report a student absence, please complete the MACH form in it's entirety. Timely submission helps ensure accurate attendance records. For extended or medically related absences, additional documentation may be required.

Student's First & Last Name
Student ID Number
Student's Grade

Student's Grade PK KG 1 2 3 4 5
Parent/Guardian Full Name
Parent/Guardian Contact Phone Number
Parent/Guardian Email
Date(s) of absence(s):
Reason for acceptable (excused) absence(s) include by are not limited to:

Reason for acceptable (excused) absence(s) include by are not limited to: Illness of the student Doctor/Dentist Appointment Major illness in the immediate family of the student (immediate family is determined as parents, brothers, sisters, grandparents, aunts, uncles, legal guardians or persons “in loco parentis,” or a member of one’s own household) Death in the immediate family of the student Religious holiday of the student's faith (including Yom Kippur, Rosh Hashanah, Epiphany, etc.) Religious institutes, conferences, workshops, provided that the principal or designee approves the absence in advance Absences for trips or other parental requests. (Requests must be approved in writing by the Administration, at least one (1) week in advance) In-school or out-of-school suspension Subpoena or forced absence by any law enforcement agency, a copy of the subpoena or court summons must be submitted to the school Issues and occasions specific to miliary families Other (Please explain below. May require Administration approval)
Upload doctor note, excusal, or other supporting document(s).

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