Lower School Student - Absence or Plan Change

Responsible adult, please enter all of the required information below to let us know of any absence or change to your child's regular after school plan. A copy will be emailed to you to confirm your submission.

Student First Name: *

Student Last Name *

Student Grade *

Adult Contact First Name *

Adult Contact Last Name *

Adult Contact email address *

Please use the arrows below to indicate
the type of change you are reporting *

IMPORTANT! Please submit absence notice by 8:00 am. Any other changes for
TODAY must be submitted by 1:45pm. After that time, you still need to make
the changes in the plan change form BEFORE calling to notify the office of
the late changes: 503-768-3143

Choose the start day for this change * +

Please choose the END date * +

Please indicate the TYPE of change *

Transportation change *

Take the BUS

CAR will pick up

Go to EXTENSION check-in

Other: Please describe in "Special Notes"

Please describe permanent change *

Please describe: *

Please enter the
pick-up time *

Please enter stop location *

Please enter a contact phone number *

Enter any Special Notes below