Required

Colonial Elementary School Absence Note

This form is to be completed and submitted by the parent/guardian. Starting on the third consecutive day of an absence, a doctor's note is required. 
 
All absences beyond 10 cumulative days in one school year require a written excuse from a licensed practitioner. 
Student First Namerequired
Student Last Namerequired
Room Numberrequired
Homeroom Teacherrequired
Date(s) of Absencerequired
Reason for AbsencerequiredThe state of Pennsylvania identifies the above reasons as excused.
The state of Pennsylvania identifies the above reasons as excused.
If you're planning an educational trip, you need to complete the Educational Trip Request Form in advance. Click here to go a page with a link to the form. 
Doctor Contacted?required
Do you have a doctor's note to upload?required
Please upload your doctor's note here.required
Attach up to 1 file with a maximum size of 10MB
No file chosen
Is it COVID?required
Date of first symptoms or positive COVID test.required
Must contain a date in M/D/YYYY format
Please add any information you'd like to share about your child's illness (optional):
What is your child's anticipated return date?required
Student may return to school five days after the first symptoms or positive COVID test. (Must contain a date in M/D/YYYY format)
Please specify holiday being observed.required
Please explain your Family Emergency/Other Urgent Reason.required
Parent/Guardian Namerequired
Parent/Guardian Phonerequired
Parent/Guardian Email Addressrequired
Note: The parent/guardian email address may be checked against school records.