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Student Absence Report
(FOR VERIFIED PARENT/GUARDIAN USE ONLY)
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Parent/Guardian Email (Must have an email on file with school)   *
Student First Name *
Student Last Name *
Student ID#
Student Grade *
6th
7th
8th
Check box:
Date of Absence(s): *Note: 5 school days to clear an absence after absence occurs. *
(Please list additional dates here)
Reason for Absence: *
Relationship to Student: *
Mother
Father
Other
Check Box:
Reported by: (Enter First and Last Name) *
Additional Notes to Attendance Office:
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