Berkeley Lake Elementary School
Absence Note

Please print, complete, and return this form to the school if your child is absent and does NOT have a doctor or dentist note. (One per student)

 

Today's Date:

Teacher: 

Grade: 

Student's Full Name:

Date(s) of Absence(s):

Reason for absence(s):

Parent/Guardian printed name:

Parent/Guardian cell phone number:

Parent/Guardian signature: