Attendance Clearance Form Lawndale
Parents/Guardians: Please use this form to report the reason for ONE FULL DAY absences only. We ask that you report any FULL DAY absences within 3 days of when the absence occurred. 
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Email *
Student ID Number  (if known)
Student Last Name *
Student first Name *
Student Grade *
Parent Name (Must match records) *
Parent Phone Number (Must match records) *
Date of Absence *
MM
/
DD
/
YYYY
End Date of Absence if more than one day
MM
/
DD
/
YYYY
Reason for Absence *
If you selected other please explain
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This form was created inside of Centinela Valley Union High School District.

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