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Hiawatha Online Absence Form
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* Indicates required question
Email
*
Your email
Your full name (First Last)
Your answer
Phone where can you be reached?
Your answer
Student First Name
*
Your answer
Student Last Name
*
Your answer
Teacher
*
Choose
Marjorie Snyder - Pre-K
Karen Stinehour - K
Colleen Stevens - K
Kellie Carpenter - K
Rachel O'Donald - 1
Karen Harvey - 1
Jessica Pepin - 1
Kim Whitmore - 2
Joseph Caforia -2
Chrissy Hultgren - 2
Marcy Morgan - 3
Julie Furniss - 3
Chana Sieffert - 3
Date of Absence
*
MM
/
DD
/
YYYY
Expected Date of Return
MM
/
DD
/
YYYY
Reason for Absence
*
Illness
Medical Appointment
Tardy/Late Arrival
Other:
Required
Comments
*
Your answer
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