LP Report an Absence 2023-2024

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* Indicates required question

Student First Name *

Your answer

Student Last Name *

Your answer

Student Grade *

Kindergarten

Grade 1

Name of Person Reporting Absence *

First and Last Name

Your answer

Relationship to Student *

Your answer

Phone Number *

Your answer

Teacher Name *

Your answer

Reason for Absence *

Be sure to submit form when you complete the questions.

Personal Illness

Death in Family

Medical Appointment

Out of town

Other:

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