Absence Reporting
Complete this form to report your child's absence. You must complete a separate form for each child.
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Who is reporting the absence? (your name) *
Relationship to Student *
Parent (relation) Contact Phone Number *
Student's LAST Name *
Student's FIRST Name *
Date of Absence (beginning date) *
MM
/
DD
/
YYYY
Date of Absence (final date) *
MM
/
DD
/
YYYY
Please select a reason for absence: *
Symptoms or Doctor Diagnosis *
Homeroom Teacher
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