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Attendance/Absence Note

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Student Name*

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Parent/Guardian Contact Information

Parent Name*

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Email 1*

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Phone*

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I am reporting that my child will be:*

For "other" please explain.

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Absent

Late

Other:

Date of absence/lateness*

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Reason for absence/lateness:*

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Illness

Medical/Dental Appointment

Observance of holiday

Family obligation

Travel

Other:

Confirmation Email

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