Harrisburg Adventist School Today's Date Parent(s)/Guardian(s) Parent/Guardian 1 Name: Parent/Guardian 2 Name: Student(s) Absent Student 1 Name: Absent Student 2 Name: Absent Student 3 Name: Date, Reason, and Other Details What day (or days) was the student(s) out? Reason for Absence: Student Illness Medical Appointment (Requires a note from a doctor or physician. Dental Appointment t (Requires a note from a doctor or physician. Other – please specify Other (For Illness ONLY) Please give us some details on how your student was ill: The student(s) was/will be: Out All Day Late Leaving Early What date can we expect the student to return? (For partial day absentees ONLY), what estimated time will the student(s) return or need to leave? Submit Related Information Forms & Documents Flyers Handbook
