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Attendance/Absence Note

Please complete the form below. Required fields marked with an asterisk *

Student Name*

Answer required for "Student Name"

Parent/Guardian Contact Information

Parent Name*

Answer required for "Parent Name"

Email 1*

Answer required for "Email 1"

Phone*

Answer required for " Phone"

I am reporting that my child will be:*

For "other" please explain.

Answer required for "I am reporting that my child will be:"

Absent

Late

Other:

Date of absence/lateness*

Answer required for "Date of absence/lateness"

Reason for absence/lateness:*

For "other" please explain

Answer required for "Reason for absence/lateness:"

Illness

Medical/Dental Appointment

Observance of holiday

Family obligation

Travel

Other:

Confirmation Email

Answer required for "Confirmation Email"