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Email
*
Your email
Student Name
*
Your answer
Date of absence:
*
Please format MM/DD/YYYY
MM
/
DD
/
YYYY
Reason for Absence (required)
*
Your answer
Teacher (required)
*
Boothe
Clark
Pannell
Williams
Abbott
Dixon
Smith
Gonzales
Sanchez
Starnes
Arguijo
Holliday
Jotten
Deanda
Ferguson
Kirchner
Hathaway
Woods
Zielinski
Other ___________________________________________________
Your Name (required)
*
Your answer
Your Phone Number (required)
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Your answer
Any additional information you would like to share
Your answer
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