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Absence Reporting Form
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* Indicates required question
Parent / Guardian Email
*
Your answer
Parent / Guardian Phone Number
*
Your answer
Parent / Guardian Full Name
*
Your answer
Your relationship to the student
*
Choose
Parent
Guardian
Other
If other above, please explain
Your answer
Full Name of Student
*
Your answer
First Day Absent
*
MM
/
DD
/
YYYY
Last Day Absent
*
MM
/
DD
/
YYYY
Reason for absence
*
Choose
Illness
Doctor's Appointment
Religious
Unexcused
Other
If other above, please explain
Your answer
Submit
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