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Report Absence

indicates a required answer

1. *

NAME
2. *

EMAIL ADDRESS
3. *

DATE OF ABSENCE (MM/DD/YYYY)
4. *

REASON FOR ABSENCE
5. *

CLASS PERIOD FOR WHICH YOU REQUIRE A SUBSTITUTE
6. *

CLASS NAME
7. *

DESIGNATED SUBSTITUTE
8. *

Have you secured the substitute?
9. 

CLASS PERIOD FOR WHICH YOU REQUIRE A SUB
10. 

CLASS NAME
11. 

Have you secured the substitute?

CHORES
12. *

NAME OF PERSON WHO WILL COMPLETE MY CHORES
13. 

NAME OF PERSON WHO WILL COMPLETE MY HIGH SCHOOLER'S CHORES (IF APPLICABLE)

Middle and high school students may attend co-op in your absence as long as another parent has agreed to be responsible for them. Please submit that information and wait for approval. 
14. 

I would like to request permission for my students to attend co-op without my presence (only available for 6-12th graders). 
15. 

Name of person responsible for my children in my absence.