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Patriots Elementary Absence Excuse Form
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* Indicates required question
Child's Name
*
Your answer
Child's Teacher
*
Your answer
Date of Absence
*
MM
/
DD
/
YYYY
Reason for Absence
*
Choose
Illness
Death in the Immediate Family
Medical or Dental Appointment
Court or Administrative Proceedings
Religious Observance
Grade
*
Choose
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Parent's/Guardian's Name
*
Your answer
Phone Number
*
Your answer
Email Address
Your answer
Additional Comments
Your answer
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