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Report a Partial-Day Absence - Mira Costa (NEW)

Attendance Office Hours: 7:30 a.m. - 3:00 p.m.
CLOSED to students during class time (please visit before school, during break, office hours, or lunch)

ONLY PARTIAL-DAY (PERIOD) ABSENCES CAN BE REPORTED HERE

Students who need to leave school early because they are ill must check-out through the HEALTH OFFICE. Do NOT use this form for illness-related early check outs.

Students are required to properly check-in and check-out of the attendance office in addiiton to the parent/legal guardian filling out this form. Failure to check-in or check-out will result in the absence being coded as a TARDY or TRUANCY.

NEW! Doctor's Appointments - Students who miss class periods due to a doctor/dental/medical appointment must attach a photo or scan of the official doctor/dental/medical note (proof of appointment) to the online verification submission. Otherwise, the absence will be coded as a Verified Unexcused absence if the parent/legal guardian only reports a doctor's appointment and does not provide documenttation. If you do not have a doctor's note yet, you can still submit the partial day absence to ensure you student obtains the off-grounds pass. Then, after your appointment, you can resubmit to send in the doctor's note. The doctor's note does not need to include specific information. It can simply be the reminder email or appointment confirmation stating the time of the doctor's appointment.

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

Student's Last Name*

Answer required for "Student's Last Name"

Student's First Name *

Answer required for "Student's First Name "

Student ID (if known)

This number can be found in the email you received about your students absence if applicable

Answer required for "Student ID (if known)"

Student's Grade Level*

Answer required for "Student's Grade Level"

Date of partial-day (period) absence:*

Answer required for "Date of partial-day (period) absence:"

Please do not report full-day absences here. There is a separate form for full-day absences.

Simply filling this out does not excuse your student's partial-day (period) absence or tardy.

Late Check-in: Students are required to check-in at the attendance office to receive a pass to go to their class, even if they arrive during office hours or between passing periods. Failure to check-in will result in an "Unexcused Tardy" or "Period Truancy."

Early Check-out: Students are required to go to the attendance office to obtain and Off-grounds Pass to leave early based on the parent/legal guardian's note that is submitted here on this form. If the parent/legal guaridan does not submit this form, then the parent/legal guaridan will need to sign the student out in person at the attendance window. Failure to check-out will result in a "Period Truancy."

Period 8: Please do not submit a verification note for Period 8 absences. Period 8 is OFFICE HOURS. Students are responsible for checking-in to Office Hours through Aeries when they are present at school.

Period or Periods of your student's partial-day (period) absence: *

Answer required for "Period or Periods of your student's partial-day (period) absence: "

Period 0

Period 1

Period 2

Period 3

Period 4

Period 5

Period 6

Period 7

Time of Late Arrival (if it applies)

Student must check in at attendance office before going to class

Answer required for "Time of Late Arrival (if it applies)"

Time of Early Dismissal (if it applies)

Student must pick up an off grounds pass

Answer required for "Time of Early Dismissal (if it applies)"

Reason for Absence*

Answer required for "Reason for Absence"

Name of Person Reporting the Absence*

Answer required for "Name of Person Reporting the Absence"

Email Address*

Answer required for "Email Address"

Phone Number (do not use hyphens, i.e. 3105454878):*

Answer required for "Phone Number (do not use hyphens, i.e. 3105454878):"

Other information (optional - explanation for "other" as reason for absence, other details, etc.)

Answer required for "Other information (optional - explanation for \"other\" as reason for absence, other details, etc.)"

Upload information (doctor's notes, court documentation, etc.)

Answer required for "Upload information (doctor's notes, court documentation, etc.)"

Choose a file or drag it here.

Please consider donating $67 per day for each student absence. This is the average amount MBUSD loses in school funding for every absence reported. We are currently projected to lose approximately $2.3M due to absences.

Please click here to make your absence donation through our Square payment portal.

EXAMPLE: For a family with two children who will be absent for 2-days each, the suggested donation is $268 (2 students x 2 days x $67/day).

Confirmation Email

Confirmation Email *

Answer required for "Confirmation Email"