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DES Report of Attendance
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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Student's Name
*
Your answer
Student's Grade Level
*
Kindergarten
First
Second
Third
Fourth
Fifth
Student's Teacher
*
Your answer
My child won't be in school today because He/She has
*
Fever
Flu or other virus
Sore Throat
Cold
Other:
Other important information
*
Your answer
My child will be absent for
*
Your answer
Date of Absence
*
MM
/
DD
/
YYYY
My name is
*
Your answer
My email is
*
Your answer
My phone number is
*
Your answer
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