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Churchill High School Student Absence Form
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* Indicates required question
*
Acknowledgement
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Please select "Yes" below to acknowledge the following statement: "By checking the signature box, I certify that I am the legal guardian of this child and all of the information provided to Livonia Pubic Schools School District is accurate."
*
Yes
No
Required
Student's Last Name
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Your answer
Student's First Name
*
Your answer
Student ID Number
*
Your answer
Student's Grade
*
9th
10th
11th
12th
All Day Absence or Late Arrival?
*
Absent All Day
Late Arrival (Student MUST check in at the Main Office)
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