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Absence Form

indicates a required answer

1. 

Remember:  Excessive absences and tardies may affect future enrollment.

Parent Name:

2. 

Date(s) absent:

3. 

Reason for absence:  (illness, emergency, vacation/family time, etc).  

4. 

Will any students still attend? If so, provide names.    

5. 

Will your class helper teach for you?  

 
Yes Have not asked yet
No N/A - Not a teacher
6. 

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