Attendance Form - Gallaher Elementary School

	Parent/Guardian: Please complete this online Attendance Form to report your child's absence.

1.	Student's Full Name*

2.	Student's Date of Birth*
	mm/dd/yyyy

3.	School Name*
	School Name* Gallaher Elementary School

Additional Program
In addition to the school above, my child is also a part of this program.
Select at least 0 and no more than 0.

Brennen School

Delaware School for the Deaf

Networks Program

5.	Grade*

6.	Classroom/Homeroom

7.	Dates Absent

9.	Your Full Name*

10.	Your Email

11.	Your Phone Number*

12.

By checking this box:*
Select at least 0 and no more than 0.

I confirm that I am the parent or legal guardian of the student named above. I understand that unauthorized use of this form may result in consequences.