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Absence Verification/
Verificación de ausencia
Val Verde Academy
Please use this form to report your student's absence/Utilice este formulario para informar la ausencia de su estudiante.
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* Indicates required question
Email/
correo electrónico
*
Your answer
Students Full Name/Nombre Completo del Estudiante
*
Your answer
Students Date of Birth/ Fecha de Nacimiento del Estudiante
*
MM
/
DD
/
YYYY
Date of students absence/ Fecha de Ausencia del Estudiante
*
MM
/
DD
/
YYYY
Reason for Absence/motivo de ausencia
*
Doctor or Dentist Appointment/ Cita con el medico o dentista (MUST submit proof from Doctor/Dentist office to
kdruiz@valverde.edu/
Illness (non COVID-related)/enfermedad (no relacionada con COVID)
Funeral/Bereavement/funeral/duelo
Personal/Family Emerency / emergencia personal/familiar
Other / otro
If you selected "Funeral/Bereavement", please indicate the relationship of the deceased to the student. /
Si seleccionó "Funeral/Duelo", indique la relación del fallecido con el estudiante.
Your answer
If you selected "Other", what was the reason/
Si seleccionó "Otro", ¿cuál fue la razón?
Your answer
Parent/Guardian name/
Nombre del Padre de Familia / Guardian
*
Your answer
Parent/Guardian Phone Number (MUST match what we have on file) /
Número de teléfono del padre/tutor (DEBERIA coincidir con el que tenemos en el archivo)
*
Your answer
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