Excused Tardy Attendance Form
Please complete this form to report an excused late arrival to school or class. All information will be reviewed by the attendance office.
Student Full Name
*
First Name
Last Name
Date of Late Arrival
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Time of Arrival
*
Hour Minutes
AM
PM
AM/PM Option
Class or Teacher Name
*
Reason for Tardy
*
Parent/Guardian Name
*
First Name
Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Acknowledgment and Signature
*
Submit Excused Tardy
Submit Excused Tardy
Should be Empty: