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Cheltenham Elementary Absence Form
This form is to be used as an alternative to the written notification of absence. This note must be completed within three days of the absence. This form is not valid for request for extended absence due to Educational Trip / Tour. This absence form does not replace the doctor's note that is required on the third consecutive absence. Once completed this form is emailed to Christine O'Connor at
Name of Parent / Guardian
Name of Child
Date(s) of Absence(s)- If more than one day, enter the dates in the "Notes to Secretary" section at the bottom.
Type of Absence:
Illness with Doctor's Note (Please send note in to office)
None of these apply (write in reason in Notes for Secretary)
Notes for Secretary
A copy of your responses will be emailed to the address you provided.
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