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Crossett Brook Middle School
Attendance - Reasons for absences
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* Indicates required question
Date your child will be absent or late to school
*
MM
/
DD
/
YYYY
My child will be:
*
Absent all day
Coming in late
Please choose from the following options. If you do not see your option please fill out "Other"
*
Illness (please specify symptoms below)
Social or emotional reason (emotional impact, anxiety, fear of coming to school)
Travel
Medical Appointment
Bereavement
My child tested positive for COVID-19
Other:
Required
If your child is coming in late, what time should we expect them?
Your answer
Student's First name
*
Your answer
Student's Last name
*
Your answer
Student's grade
*
Choose
5
6
7
8
Person filling out the form
*
Your answer
Parent/Guardian phone number
Your answer
Parent/Guardian email
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Best way to contact
Email
Phone
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