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Absence Notification Form

All student absences need to be reported to the LCS Office either by filling out this form
or by calling 916-744-1212.

Please report your child’s absence below:
Independent Study must be requested no less that 24 hours in advance. In case of emergency Independent Study must be requested by 9am. You will be contacted once the packet is ready for pick up, the following day.

If Independent Study is over 3 days long it needs to be requested at least a week prior.

We encourage all parents to sign up their child for Independent Study to excuse their child’s absence and so the school receives credit.

Please complete the form below. Required fields marked with an asterisk *

Student's Full Name*

Answer Required

Date of Absence*

Answer Required

Do you want to enroll in Independent Study? If this is an emergency situation and you are requesting Independent Study for the same day your request must be submitted before 9am.*

Answer Required

Yes

Dates for Independent Study

mm/dd/yyyy - mm/dd/yyyy

Answer Required

Contact Information

First Name

Answer Required

Last Name

Answer Required

Email 1

Answer Required

Mobile Phone

Number Required

Address

Street Address

Answer Required

City

Answer Required

Zip/Postal

Answer Required

Confirmation Email

Confirmation Email *

Email Required