Attendance Form

Submit an absence using one of these methods:

Attendance form below
Calling our 24/7 attendance line at 703-718-2750
Emailing [email protected]

This attendance form is to be submitted by the parent/legal guardian only.

Please submit this form in English.

Are you submitting a full day absence, a late arrival, or early dismissal?

Full Day

Late Arrival

Early Dismissal

Date of Absence

Please check this box if you wish to report multiple day absences.

List specific dates of the absence

What is the expected late arrival start time?

What time will the student be leaving early?

Which block are you reporting an absence for?

AM Block

1st/2nd Period

Midday Block 1

3rd/4th Period

Midday Block 2

5th/6th Period

PM Block

7th/8th Period

View our bell schedule to see the specific times for each block.

Student's First Name

Student's Middle Name

Student's Last Name

Student Grade Level

Base High School

Course

Reason for Absence

If reporting an ill student, include symptoms, especially if they have a fever, nausea, vomiting, sore throat, and/or cough. If your student has a diagnosis from a healthcare provider, please include that information.

Parent/Guardian Contact Information

Parent/Guardian First Name

Parent/Guardian Last Name

Phone Number

Parent/Guardian Email Address

Parent/Guardian Signature

Parent/guardian, please use your device to write your signature above.

By submitting this form, you are confirming that you are the parent or legal guardian of the student

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FCPS

Attendance Form

Parent/Guardian Contact Information