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Verification of Student Absence 
  1. Please complete and submit the following information to report your child's absence from school.  If you have more than one student, please complete one form per child.  Absences must be cleared within (5) business days.  Once submitted, please allow 48 hours for the changes to be noted on your student's attendance record.

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Por favor complete y envie la siguiente información para informar la ausencia de su hijo(a) a la escuela.  Si tiene más de un estudiante, complete un formulario por niño.  Las ausencias deben aclararse dentro de (5) días.  Una vez enviado, por favor espere 24 horas para que se anoten los cambios en el registro de asistencia de su estudiante.        
 
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Lylah 
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Patterson 
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4th Grade Ms Mota
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10/14/2026
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Family/E
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Please upload Medical or Dental Appointment Doctor Notes (or COVID test results) in order for absence to be excused /  Por favor suba la nota de la cita médica o dental (o los resultados de la prueba de COVID) para que se justifique la ausencia
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Parent or Guardian Contact Number /  Número de contacto del padre o tutor
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Digital Signature / Firma Digital  *By ENTERING YOUR NAME BELOW and clicking 'Submit', you acknowledge and agree that your electronic submission is the legal equivalent of your manual signature. / Al ingresar su nombre abajo y hacer clic en 'Submit', usted reconoce y acepta que su envío electrónico es el equivalente legal de su firma manual.  
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