LJA Attendance Form - Report an Absence/Late Arrival/Early Pick-up
By submitting this form, you are notifying Le Jardin Academy that your child is absent. It will serve as an excuse note for the absence. For late arrival, early pick-up, or multiple day absences, please fill out the NOTE section at the end of this form.

*Please call the office if you are submitting an early release request for the current day. 

This form MUST be filled out by a PARENT/GUARDIAN using their email only. Students are not permitted to fill out this form.
An email receipt of the form will be sent immediately to the parent/guardian. The school office will verify that the email address used on the form belongs to the parent/guardian. 
Sign in to Google to save your progress. Learn more
Email *
Student's First Name *
Student's Last Name *
Student's Grade *
K
1
2
3
4
5
6
7
8
9
10
11
12
Select Grade(s)
Please mark your selection *
Absence
Late Arrival
Early Release
Attendance Type
Date of Absence, Late Arrival, or Early Release *
MM
/
DD
/
YYYY
For Early Release or Late Arrival, please indicate the time
Time
:
Please provide a reason for the absence, late arrival or early release. *
NOTES to report late arrival, early pick-up, and/or multiple day absences. 
Parent/Guardian First and Last Name *
Parent/Guardian Contact Phone  Number *
I certify that I am the parent or legal guardian of this student and authorized to submit this information. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Le Jardin Academy. Report Abuse