Please fill out a separate form for each missed class. Makeups are only for contagious illness that results in missing school days. Makeups are forfeited if not taken prior to dropping from the program. Please fill out the form below to request a makeup. Student's Name*Age*Student's Class*Class DayTimeMissed Date of Absence*Click in box to select date Date Format: MM slash DD slash YYYY Absent due to:*IllnessInjuryIllnessIn order to help control the spread of illness in the classroom this year, please give us the following information:Please describe illness*Was it contagious?*YesNoKept home from school dates*FromToPlease describe the injury*Estimated days unable to attend class*FromToParent Information*NameEmailPhoneSpam Security This iframe contains the logic required to handle Ajax powered Gravity Forms.