Absence Report Form
Please complete this form for each student and for each day of the absence.
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Email *
Student Last Name *
Student First Name *
Grade *
Student ID #
Date of Absence *
MM
/
DD
/
YYYY
Absence Reason (please select one) *
If you selected FAMILY EVENT or OTHER,  please briefly explain. If you selected APPOINTMENT, please indicate type of appointment (medical, dental, etc).
Your name (first and last) *
Your phone number *
Your relationship to student *
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