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Matoaca Middle School Absence Excuse Form
Please fill out this form if your student will be absence. Please understand that once you have reached 10 handwritten notes. You will be asked to provide documentation from each future absence.
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* Indicates required question
Parent/Guardian First Name
*
Your answer
Parent/Guardian Last Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Email
*
Your answer
Student First Name
*
Your answer
Student Last Name
*
Your answer
Date of Absence
*
MM
/
DD
/
YYYY
Number of Days Absent
*
Your answer
Grade Level
*
Choose
8th
7th
6th
Reason for Absence
*
Illness
Medical/ Dental Appointment
Death in the Family
Court Apperance
Out of Town
Other:
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