Student Absence Reporting Form
Please fill out to report your child's absence
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Student's First and Last Name *
Student Grade *
Required
Date of Absence - Format mm/dd/year *
MM
/
DD
/
YYYY
Reason of Absence *
Required
Explanation of Absence *
Parent/Legal Guardian - By typing your name below and submitting this form, you are certifying you are the parent or guardian of the student named above, and understand this constitutes your signature. Intentional misrepresentation may have legal or school discipline consequences. *
Contact Phone Number *
Contact Email (optional)
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