Absence Reporting
Student Name (Last Name, First Name) *
Your answer
Date of Absence (Month/Day/Year) *
MM
/
DD
/
YYYY
Room Number or Teacher Name
Your answer
Reason for Absence (please note if you child is experiencing a fever, vomiting, or diarrhea, they need to be symptom-free for 24 hours before returning to school) *
Relation to Student *
Additional Information
Your answer
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