Absent/Dismissal/Tardy Verification Form

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Absent/Dismissal/Tardy Verification Form

Parent or Guardian: Please fill out this form if your child is going to be absent/tardy/dismissed from school.

If your child needs to be dismissed, please fill out the form a minimum of 24 hours in advance when possible.

Please fill out a separate form for each student or reason.

***Be sure to provide notes via email to nlacoste@granbyschoolsma.net****

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* Indicates required question

Email *

Your email

Caregiver/Parent Name: *

Your answer

Student Name: *

Your answer

Grade level: *

7

8

9

10

11

12

My student is/will be... *

Absent

Tardy

Dismissed

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