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Clearmont Student Attendance Reporting Form
Email address *
Today's Date *
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Today's Time *
Time
:
Date of Absence *
MM
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DD
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YYYY
Student's Last Name *
Your answer
Student's First Name *
Your answer
Reason for Absence *
Your answer
Child's Grade and Teacher *
Your answer
Is your child experiencing Flu like symptoms? *
Does your child have a fever greater than 100.0 degrees? *
What are the specific symptoms that your child is experiencing? (Examples may include: fever of 100.1 degrees, vomiting, body aches, pink eye, head lice, dizzy, ear ache, sore throat, coughing etc.) *
Your answer
Person reporting the absence *
Your answer
Your answer
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