2022-2023 Absence Reporting
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Absence Reporting
Please provide the required information to report an absence.
1.
Student Name:
*
2.
Teacher's Name/Grade:
*
3.
Parent/ Guardian Name:
*
4.
Parent's Phone Number/Email Address:
*
5.
Date(s) of Absence:
*
mm/dd/yyyy
6.
Reason for absence (Flu, Fever, Out of Town, Dr. Appointment, etc):
*
7.
Please Provide Any Additional Comments if Necessary: