School Absence 
If your child is sick or missing a day (or longer) of school, please complete this form. 
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Name of parent/guardian filling out this form *
First name of student:  *
Last name of student: *
Student's class *
Start Date of Absence *
MM
/
DD
/
YYYY
End Date of Absence *
MM
/
DD
/
YYYY
Is this student on a state scholarship?  *
Reason for student's absence: *
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