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Spectrum Academy Excused Absence Form
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* Indicates required question
North Salt Lake Elementary School
Student Name
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Email Address
*
Your answer
Date of Absence
*
MM
/
DD
/
YYYY
Reason for Absence
*
Illness
Death of family member or close friend
Medical Appointment (please provide note when possible)
Other:
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