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Report An Absence Form
Student's First Name
Your answer
Student's Last Name
Your answer
Grade Level
Date of Absence
MM
/
DD
/
YYYY
Please provide a reason for this absence
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Parent/ Guardian First Name
Your answer
Parent/ Guardian Last Name
Your answer
Parent/ Guardian Email Address
Your answer
Parent/ Guardian Phone Number
Your answer
Notes for reporting multiple absences
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I certify that I am the parent or legal guardian of this student and am authorized to submit this information.
Required
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