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Absence Excuse Form
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* Indicates required question
Email
*
Your email
Email
*
Your answer
Student's Name
*
Your answer
Student's Teacher
*
Your answer
Date of Absence
*
MM
/
DD
/
YYYY
Reason of Absence
*
Illness
Death in Immediate Family
Medical or Dental Appointment
Court or Administrative Proceedings
Religious Observance
Grade Level
*
Kindergarten
1st
2nd
3rd
4th
5th
Parent/Guardian Name
*
Your answer
Phone Number
*
Your answer
Additional Comments
Your answer
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