2021-2022 PBMS Attendance Form
Anonymous Login Code:
Save this code, which is required to update your response at a later time.
Filing out this Attendance Form DOES NOT mean that your child will be excused from his/her absence. Please see SJCSD attendance policies at
Student Name (Last, First)
Student ID (NO S)
Student number can be located on Home Access Center (HAC) or student ID.
Parent/Guardian Name (Last, First)
Parent/Guardian's Email Address
First Day of Absence
Last Day of Absence
Reason for Absence(s)
Death in the family.
Religious holidays of the student’s religious faith.
Required court appearance or subpoena by a law enforcement agency.
Scheduled doctor or dentist appointments.
Other, please specify
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