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2023-2024 Student Absence Form
If you have any questions, please contact Mr. Hipenbecker
thipenbecker@immanuelcl.org
. Thank you for your support and cooperation!
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* Indicates required question
Email
*
Your email
Phone Number
Your answer
Student Name
*
Your answer
Grade
*
PreK
Kindergarten
Grade 1
Grade 2
Grade 3
Grade 4
Grade 5
Grade 6
Grade 7
Grade 8
Required
Date of Absence
*
MM
/
DD
/
YYYY
Reason for Absence
*
Sick
Appointment
Out of Town
Other
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