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Physical Education: Parent Excusal
Injury or Illness Report:
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* Indicates required question
Child's Full Name (First and Last)
*
Your answer
Teacher's Name
*
Mrs. Zenuk
Class Period
*
1st
2nd
3rd
5th
6th
Please describe briefly the nature of your child's injury or illness.
*
Your answer
You will be contacted by the teacher to confirm receipt of the excusal. Please indicate the form of communication you prefer.
*
Phone
Email
Other:
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