Report an Absence / Reportar una Ausencia

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Please use this form to report to provide a reason for your student's absence. / Utilice este formulario para informarnos del la razón por la ausencia de su estudiante.

Email *

Date *

Date of absence / Fecha de la ausencia

YYYY

Last Name *

Student's Last Name / Apellido del Estudiante

First Name *

Student's First Name / Nombre del Estudiante

Reporter of Absence *

Name of person reporting absence / Nombre de la persona reportando la ausencia

Phone *

Phone number of person reporting / Numero de telephono de la personal reportando. Please use the format 123-456-7890 / Por favor utilice el formato 123-456-7890

Relation *

Relation to Student / Relación al Estudiante. Must be a guardian or listed in emergency contacts / Debe ser guardián o enumerada en contactos de emergencia

Mother or Father / Madre o Padre

Legal Guardian / Guardián Legal

Grandparent / Abuelo(a)

Aunt or Uncle / Tía o Tío

Other:

Reason *

Reason for the absence / La razón por la ausencia

Illness or injury (see next question) / Enfermedad o herida (ver la siguiente pregunta)

Medical appointment / Cita medical

Family emergency / Emergencia familiar

Vacation or personal reasons / Vacaciones o razones personales

Religious observance or ethnic holiday / Observancia religiosa o festividad étnica

Bereavement / Pérdida

Other:

Illness / Enfermedad

If illness or injury is the reason for absence, please share the type of illness, symptoms, or injury here: / Si una enfermedad es el motivo de la ausencia, comparta el tipo de enfermedad, síntomas, o herida aquí:

A copy of your responses will be emailed to the address you provided.

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