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Building 21 Absent Form
Please complete if your student will not be present in school.
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* Indicates required question
Email
*
Your email
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Parent/Guardian(s) Name
*
Your answer
Parent/Guardian(s) Email
*
Your answer
Parent/Guardian(s) Phone
*
Your answer
Date of Absence
MM
/
DD
/
YYYY
How many additional days will your student be out due to this absence?
Just the day of absence
1 additional day
2 additional days
3 or more additional days
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Briefly explain why your student is not in school (Please right "SEPTA" if the septa strike is the cause of absence)
*
Your answer
If a student is not in school it is the student's responsibility to check his/her Google Classroom for assignments and communicate with classroom teacher via email if he/she has any questions.
*
I have read and understand the statement above.
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