Attendance Form

Parents/legal guardians may submit an absence or late arrival online

Submit an absence using our attendance form below or by calling 703-222-7496.

It is the responsibility of the parent/legal guardian to report absences to both your student's base school and Chantilly Academy.
- Notifying a base school does not excuse your student from Chantilly Academy and vice versa. This includes contacting us when your student must stay at a base school for events (pep rallies, testing, modified schedules, etc.). It is important to note that your student's attendance at Chantilly Academy is completely separate from base school attendance.
All early dismissals must be called in on the attendance line at 703-222-7496. However, if the requested dismissal is less than 1 hour prior to the requested dismissal time, the parent/legal guardian must call directly to the academy office at 703-222-7460.

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

Student's Last Name

Student's First Name

Student's Middle Name

Are you submitting a full day absence or a late arrival

Full Day Absence

Late Arrival

Date of Absence or Late Arrival

Check this box if you need to report multiple days.

Please list specific dates of the absence

Will your student be missing their base school for the same date(s) being reported on this form?

Yes

No

Has your students base school been notified of this absence being reported below?

Yes

No

What is the expected late arrival start time?

Please signing in at the Academy Office inside door 5 before heading to class.

Reason for Absence or Late Arrival

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

Student Grade Level

Course

Base School

Parent/Legal Guardian Contact Information

Parent/Legal Guardian First Name

Parent/Legal Guardian Last Name

Parent/Legal Guardian Phone Number

Alternative Phone Number

Not required.

Parent/Legal Guardian Email Address

Parent/Legal Guardian Signature

REQUIRED - Parent/legal guardian, please use your mouse (if on a computer) or finger (if on a mobile device) to write your signature above.

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

This can be used as a legal document and fraudulent if submitted by a student claiming to be a parent/legal guardian.

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FCPS

Attendance Form

Parents/legal guardians may submit an absence or late arrival online

ATTENDANCE PROCEDURES

Parent/Legal Guardian Contact Information