Attendance
Temporary Instructional Time Model
Dates: January 24, 25, 26, 27 January 31, February 1, 2, and 3

This form ONLY needs to be returned if you are opting your child/children into the temporary instructional time model.

This form indicates that you will be responsible for ensuring your child is completing their assigned class work for the days listed above.
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Parent Name *
Students Names *
January 24th- My student completed their classwork.
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January 25th- My student completed their classwork.
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January 26th- My student completed their classwork.
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January 27th- My student completed their classwork.
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January 31th- My student completed their classwork.
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February 1st- My student completed their classwork.
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February 2nd- My student completed their classwork.
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February 3rd- My student completed their classwork.
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I understand that this temporary instructional time model will run from January 24th to February 3rd, and if my students do not return work assigned for each day of school (Jan. 24-Feb. 3rd) they will be marked absent, and ten consecutive days of absents will result in the student being dropped from attendance at Indian Wells Elementary School. *
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Parent/Guardian Signature *
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