Hale School Extended Absence Form

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Have an extended absence you'd like to inform us of? Please complete and submit this form.

Today's Date *

YYYY

Student Last Name *

Student First Name (feel free to add Hale siblings who will also be gone) *

Student Grade(s) *

Kindergarten

First Grade

Second Grade

Required

Adult Completing This Form (First and Last Name) *

Adult's Phone Number *

Please list the dates your child(ren) will not be in school. *

What is the reason for the absence?

Family Emergency

Funeral

Vacation

Religious Observation/Holiday

Other

Clear selection

Thank you for completing this form. Please communicate this absence with your child's teacher(s) and assume we have excused the absence unless we notify you.

Submit

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