EBS Elementary Absence Notification
Please help us clear your child's absence
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Student First Name: *
Student Last Name: *
Teacher / Room Number *
Date(s) of Absence - Beginning *
MM
/
DD
/
YYYY
Date(s) of Absence - Ending
MM
/
DD
/
YYYY
Reason for Absence *
Examples: Illness (must specify symptoms, fever, cough, stomach ache, etc.), out of town, medical appointment, family emergency, etc.
Parent First Name *
Parent Last Name *
Relationship to student (mother, father, guardian) *
Telephone Number *
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