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Absence Form
Please fill out this form about your child's information absence.
Do not forget to send in a signed letter of explanation when they return to school.
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* Indicates required question
Email
*
Your answer
Student's Last Name
*
Your answer
Student's First Name
*
Your answer
Grade
*
Kindergarten
1
2
3
4
5
Teacher
*
Choose
Mr. Matthew Alberswerth
Ms. Lauren Martino
Ms. Mona Mahrous
Ms. Hedwing Deh
Ms. Karla Yager
Ms. Lousig Dedeyan
Unassigned
Uniassigned
Ms. Julia Eiden
Ms. Jaclyn Fireison
Date
*
MM
/
DD
/
YYYY
Reason
*
Medical Appointment
Sick
A fever
Travel
Family Emergency
Transportation issues
Other
Student will be absent:
*
Today only
Not sure for how long
My name is:
*
Your answer
My phone number is:
*
Your answer
My email address is
*
Your answer
I am the parent/ guardian of the student:
*
Yes
No
Additional comments or questions?
Your answer
Submit
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