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WPELC 2025-2026 ABSENCE REPORTING FORM
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* Indicates required question
STUDENT FIRST NAME
*
Your answer
STUDENT LAST NAME
*
Your answer
STUDENT CLASS
*
PS MWF
PS TT
PS EXT DAY - MONDAY
PS EXT DAY - TUESDAY
PS EXT DAY - FRIDAY
EL MWF
EL TT
PT WEDS
PT THURS
DATE(S) STUDENT WILL BE ABSENT
*
Your answer
REASON FOR ABSENCE
*
ILLNESS
TRAVEL
APPOINTMENT
MENTAL HEALTH DAY
FAMILY-RELATED REASONS
WEATHER
Other:
IF ABSENT FOR ILLNESS, PLEASE REPORT SYMPTOMS:
Your answer
NAME OF PARENT/GUARDIAN REPORTING ABSENCE
*
Your answer
Anything else we should know?
Your answer
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