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Report an Absence/Curie Elementary School
Please use this form to report/provide a reason for your student's absence
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Email
*
Your email
Date From:
*
MM
/
DD
/
YYYY
Date To:
*
MM
/
DD
/
YYYY
Students Last Name
*
Your answer
Students First Name
*
Your answer
Name of Person Reporting the Absence
*
Your answer
Phone Number of Person Reporting Absence
*
Your answer
Relationship to Student
*
Mother or Father
Legal Guardian
Grandparent
Other
Reason For the Absence
*
Illness or Injury
Medical/Dental
Vacation
Personal Reasons
Religious Observance
Bereavement
Other
If Illness or Injury is the reason for the absence please share the type of illness, symptoms or injury here
*
Your answer
A copy of your responses will be emailed to the address you provided.
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