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Chavez MS Student Absence Report
(FOR VERIFIED PARENT/GUARDIAN ABSENCE REPORT USE ONLY)
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Parent/Guardian email (Must have email on file with the school)
Correo electrónico del padre/tutor (debe tener el correo electrónico registrado en la escuela)
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STUDENT First Name
Nombre del ESTUDIANTE
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STUDENT Last Name
Apellido del ESTUDIANTE
 *
STUDENT ID#
Número de ID# del Estudiante
STUDENT Grade
calificación del estudiante

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6th
7th
8th
Check box:
Date(s) of Absence(s) or Date(s) & Period(s) Absent: 
(You must report absence within 5 school days of the absence.  Allow 3 school days for staff to clear absences)
Fecha de la(s) ausencia(s) o período de ausencia: 
(Debe reportar la ausencia dentro de los 5 días escolares posteriores a la misma. El personal puede esperar 3 días escolares para justificar las ausencias)
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Reason for Absence
Motivo de la ausencia
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Relationship to Student
Relación con el estudiante
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Mother (madre)
Father (padre)
Other (otra)
Check Box:
PARENT/GUARDIAN First and Last Name
Nombre y apellido del padre/tutor
 *
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