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Report an Absence / Reportar una Ausencia
Thank you for completing this form to report your student's absence from school.
Gracias por completar este formulario para informar la ausencia de su estudiante a la escuela.
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* Indicates required question
Student First Name /irma Nombre del Estudiante
*
Your answer
IStudent Last Name / Apellido del Estudiante:
*
Your answer
Grade/ Grado
*
Choose
TK
KN
1ST
2ND
3RD
4TH
5TH
Absence Reported By / Reportado Por:
*
Choose
Mother/Madre
Father/Padre
Guardian/Guardián
Other/Otro
Your Name / Su Nombre
*
Your answer
Phone Number / Número de Teléfono:
*
Your answer
Date of Absence / Fecha de Ausencia:
*
MM
/
DD
/
YYYY
Date of Student Return / Fecha de Regreso del Estudiante:
*
MM
/
DD
/
YYYY
Reason/
Razón
*
Your answer
Do you have a doctors note? ¿Tienes una nota del médico?
*
Please e-mail a copy of your doctor's note to irma.jaquez@desertsands.us/Envíe por correo electrónico una copia de la nota de su médico a irma.jaquez@desertsands.us
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Yes/Si
No/ No
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