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Absence Note/Nota de ausencia
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* Indicates required question
telephone number/o número de teléfono
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Your answer
Today's Date/Fecha de Hoy - Mes, dia, ano
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MM
/
DD
/
YYYY
Parent/Guardian First Name/Nombre de la madre / Padres/o Guardian
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Your answer
Parent/Guardian Last Name/Apellido del padre / Guardian
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Your answer
Student's First Name/ Nombre del estudiante
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Your answer
Student's Last Name/apellido del estudiante
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Your answer
Teacher's Name/Nombre del profesor
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Your answer
Below, please list the date(s) your child was not in attendance. Please list all dates to be covered under this note./A continuación, indique las fechas en las que su hijo no asistió. Enumere todas las fechas que se cubrirán en esta nota.
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Your answer
Reason for absence(s)./Razón de la (s) ausencia (s)
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