Truancy 2nd Notice v2
First Name
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Last Name
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DOB
MM
/
DD
/
YYYY
Gender
Child's Address
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Child's City
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Child's Zip
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District
Building
Grade
Day 1
Indicate 6 individual days of absence
MM
/
DD
/
YYYY
Day 2
Indicate 6 individual days of absence
MM
/
DD
/
YYYY
Day 3
Indicate 6 individual days of absence
MM
/
DD
/
YYYY
Day 4
Indicate 6 individual days of absence
MM
/
DD
/
YYYY
Day 5
Indicate 6 individual days of absence
MM
/
DD
/
YYYY
Day 6
Indicate 6 individual days of absence
MM
/
DD
/
YYYY
Parent’s First Name
Your answer
Parent’s Last Name
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Parent’s Address
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Parent’s City
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Parent’s Zip
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Home Phone
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Business Phone
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Email of Principal
A copy of the submitted form will be sent to this email address.
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Additional Remarks
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