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Empire Attendance
Please call our main line at 879-3002 for your student to leave early. A request submitted here may not be received in time!
This form is for full day absences.
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* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Grade Level
*
9th
10th
11th
12th
Required
Parent/Guardian First and Last Name
*
Your answer
Parent/Guardian Contact Phone Number
*
Your answer
Date of Absence
*
MM
/
DD
/
YYYY
Reason for Absence
*
Your answer
If the absence is going to be more than a single day, please include the additional dates here.
Your answer
A copy of your responses will be emailed to the address you provided.
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