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Hale School Extended Absence Form
Have an extended absence you'd like to inform us of? Please complete and submit this form.
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* Indicates required question
Today's Date
*
MM
/
DD
/
YYYY
Student Last Name
*
Your answer
Student First Name (feel free to add Hale siblings who will also be gone)
*
Your answer
Student Grade(s)
*
Kindergarten
First Grade
Second Grade
Required
Adult Completing This Form (First and Last Name)
*
Your answer
Adult's Phone Number
*
Your answer
Please list the dates your child(ren) will not be in school.
*
Your answer
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.
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