Child's full name: ____________________________________________________
Birthdate _________________ Age (Yrs) ________________ (Mos) __________
Parent/Guardian Information
Physical Address ____________________________________________________
P O Box ____________ City/State/Zip ____________________________________
Home Telephone _____________________ Work Telephone _________________
Child's school: ______________________________________________________
P O Box ______________ City/State/Zip __________________________________
Attendance Officer/Principal ____________________________________________
School Telephone ____________________________________________________
Number of unexcused and excused instructional class hours/days _____________/______________
(Five schools days from date of mailing this notice to parent/guardian.)
TO THE ABOVE NAMED CHILD AND PARENT OR GUARDIAN:
Please be advised that our records reflect the above-named Child has been absent without excuse from the number of instructional class hours as indicated above. A copy of the Statute setting forth the legal excuses for absence should be brought immediately to the attention of the Principal of the School. If the Child commences to attend school and is not absent without legal excuse for the remainder of this school year, no proceedings will be brought to compel school attendance. If the Child is absent without legal excuse any time during the remainder of this school year, the Summit County Court may be petitioned to initiate proceedings to compel attendance in accordance with the Colorado School Attendance Law. No proceedings may be initiated until five (5) school days from service of this Notice.
___________________________________________________________________
School Attendance Officer/Principal Signature