Report an Absence (one child per entry please)
Please submit a new form for each child in your household. 
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Last Name of student that will be absent *
First Name of student that will be absent *
First + Last Name of parent or guardian completing this form *
Grade Level *
Start Date of Absence *
MM
/
DD
/
YYYY
End Date of absence if known (if unknown - just skip to next question)
MM
/
DD
/
YYYY
Please indicate hours they will be out. *
Reason for absence?   *
Add other information that you would like us to have?  
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