Victoriano Attendance Verification
Student Absence E-Verification Form
Students First and Last Name *
Your answer
Students Grade *
Date of Birth *
MM
/
DD
/
YYYY
Date(s) Student was Absent - List all dates *
Your answer
Reason For Absence *
If you selected funeral/bereavement, indicate the relationship of deceased to student (immediate family only)
Your answer
If Other, what was the reason (not excused)
Your answer
Parent or Guardian Name *
Your answer
Parent or Guardian Email Confirmation *
Your answer
Parent or Guardian Phone Number *
Must match what we have on file.
Your answer
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