East Campus (Grades K-4 only) Absence Form
Student Name *
Your answer
Date of Absence *
MM
/
DD
/
YYYY
Student's Homeroom Teacher and Grade Level *
Your answer
Reason for Absence *
If "Other" please describe
Your answer
Parent or Guardian's Name *
Your answer
Parent or Guardian's Phone *
Your answer
Parent or Guardian's Email *
Your answer
Today's Date *
MM
/
DD
/
YYYY
Today's Time *
Time
:
Signature Authorization *
Required
Submit
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