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Akin Road Daily Absent Form
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* Indicates required question
Student Last Name, First Name (
nombre del estudiante)
*
Your answer
Illness Date (
fecha de enfermedad)
*
MM
/
DD
/
YYYY
Student Grade (grado del estudiante)
*
Kindergarten
1st
2nd
3rd
4th
5th
Reason for Absence (motivo de ausencia)
*
Illness (enfermedad). List symptoms in Comments (Listar síntomas en Comentarios)
Appointment - gone all day (cita todo el dia)
Appointment - will arrive late (ilegar despues de la cita)
Other
Comments (comentarios)
Your answer
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