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Student Absence Form
This form is used to notify WSD that your student will be absent, arriving late, or be picked up early.
If you have multiple children out, please fill out a form for EACH child.
If the absence is longer than one day, it is the family's responsibility to contact the front office today to arrange for materials pick up.
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* Indicates required question
Email
*
Your email
Type of Absence
*
Choose
Absence
Early Departure
Late Arrival
Student's First Name
*
Your answer
Student's Last Name
*
Your answer
Reason for Absence
*
Your answer
Date of absence
*
MM
/
DD
/
YYYY
If absence is expected to be longer than a day, please list the last expected date of absence. Otherwise, re-enter the same answer as in the previous question.
*
MM
/
DD
/
YYYY
Class
*
Choose
Rainbow Garden
Oak Tree
1st
2nd
3rd
4th
5th
6th
7th
8th
If your student is ill, symptoms?
(Please note that if this is left blank for an ill student, a member of the health team will follow up for details.)
Your answer
Additional Information (if needed)
Your answer
A phone number where you can be reached for questions pertaining to this absence?
*
Your answer
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