2025 Absentee Request Form

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The mere filing of an absentee request form does not constitute whether an absence is excused.

Email *

Record my email address with my response

School Email: *

I am a (please select one) *

Lake Central Band student

Parent and/or guardian of a Lake Central Band student

Date of Form Completion: *

YYYY

Date of Requested Absence: *

YYYY

Student's Last Name: *

Student's First Name: *

Parent and/or Guardian's Name: *

Parent and/or Guardian's Phone Number: *

Parent and/or Guardian's Email Address: *

Reason for Absence Request: *

School Event Conflict

Illness (Doctor or Parent Note REQUIRED)

Death in the Family

Religious Holiday

Other:

If you chose School Conflict or Other above, please give a detailed explanation.

I understand that he mere filing of an absentee request form does not constitute whether an absence is excused. *

Yes, I understand.

Send me a copy of my responses.

Submit

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