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Glenwood Absence Form
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* Indicates required question
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Grade
*
5th
6th
Reason for the absence or late arrival to school
*
If the reason is not one listed below, please explain as "Other," understanding that it may not be considered and excused absence.
Student Illness
Family Emergency
Death in the Family
Illness in Family Causing a Family Emergency
Family Vacation (Must have been previously approved to be 'excused'.)
Will arrive late due to a medical appointment (Please send in a signed note with your child.)
Other:
Do you expect the student to miss more than one day?
*
Yes
No
If yes, when do you expect your student to return to school?
MM
/
DD
/
YYYY
What is your first & last Name
*
Your answer
What is your relationship to the student?
*
Your answer
Please list a contact number that you could be reached at to confirm your student's absence.
*
Your answer
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