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2025-2026 Student Absence/Tardy Form
Please complete for your student if they will be absent/tardy.
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* Indicates required question
Student First and Last Name
*
Your answer
Date of Absence/Tardy
*
MM
/
DD
/
YYYY
Date of Return
*
MM
/
DD
/
YYYY
Student's Grade
*
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Reason
*
Sick
Vacation
Dr Appt.
Ortho
Other
Notes: Details regarding absence/tardy
*
Your answer
Parent/Guardian Excusing the Absence (first and last name)
*
Your answer
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