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23-24 Keene Elementary Student Absence Form
Fill out this form to let us know that your child will be absent.
Please remember to send in a signed parent explanation or doctor's excuse when they return to school.
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* Indicates required question
Parent/Guardian Last Name/Apellido del adulto:
*
Your answer
Your answer
Parent/Guardian First Name/Nombre del adulto padre:
*
Your answer
Your answer
Parent/Guardian Daytime Phone Number/numero de telefono:
*
Example: ***-***-****
Your answer
Student Last Name/Apellido estudiante:
*
Your answer
Your answer
Student First Name/Nomvre de estudiante:
*
Your answer
Your answer
Reason for Absence/Razon de ausencia:
*
Your answer
Your answer
Do you have a doctor's excuse/Tiene excusa de doctor?
(Please send or email the note within 5 school days)
*
Yes, I will email it to
agallaway@keeneisd.org
Yes, I will send it with my student upon their return
No, I will email a parent note to
agallaway@keeneisd.org
No, I will send a signed parent note with my student upon their return to school
Your child will be absent for/Mi estudiante estara ausente:
*
Your answer
Today Only/Hoy solamente
Tomorrow Only/manana solamente
5 or More days/5 dias o mas
I'm not sure how long/no estoy seguro
Required
I am.../Yo soy...
*
Your answer
the legal guardian of this student
Required
Anything Else/Algo mas?
Your answer
Your answer
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