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Cynwyd Elementary School

Off-Canvas

Absence Form

Required

(To be completed by Parent or Guardian)

Absence Typerequired

Please use this form to provide notification to the school of your child’s early dismissal. Please note that this notification will be reviewed in accordance with LMSD Policy and Administrative Regulation #207.

Student First Namerequired
Student Last Namerequired
Graderequired
Date of Early Dismissal
Must contain a date in M/D/YYYY format
Time to be Dismissed
Date of Absence or Latenessrequired
If multiple days, select the first day of absence.​​ (Must contain a date in M/D/YYYY format)
Multiple Day Absence
Number of consecutive days absent:required
Arrival Timerequired
If your child will be arriving late, please provide an estimated time of arrival at school.​​
Reason for Absence/Lateness:required

The achievement of your child at school, in which no doubt you are sincerely interested, depends greatly on regularity and punctuality of their attendance. This notification will be reviewed in accordance with LMSD Policy and Administrative Regulation #207.

The achievement of your child at school, in which no doubt you are sincerely interested, depends greatly on regularity and punctuality of their attendance.

Parents/Guardians of students who are absent will receive a verification phone call and email, even if the absence has been reported via our LMSD Safe Arrival system. Phoning parents and guardians of students who are not in class is an important measure undertaken by our school district to ensure the safety of all of our students.

If you have a doctor’s note that would excuse this absence, please send the original note to the school office upon the child’s return.

Parent Email Addressrequired