Attendance Form
If your student is going to be absent or late, please fill out this form. This form is in place of the attendance line. 
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Student Last Name *
Student First Name *
Absence date *
Reason for absence or tardy  *select all that apply* *
If your student has a confirmed diagnosis, (covid, flu, strep, pertussis, pneumonia) please provide date of diagnosis.   *
Other - if reason not listed above please provide reason. 
Grade Level *
Homeroom Teacher Name (if known) *
My student will be late *
Name of Person Completing Form *
Phone number  *
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