A Note To School

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A NOTE TO SCHOOL
Teacher: _____________
Grade: _______________
________________________
_____________________
(Student First)
(Student Last)
Is late today because: _______________________
Has a _____________________appointment @ ___________ and will or
will not return. (indicate which applies)
Is going home with ___________________________via car line or walking
dismiss out front or back exit. (indicate which applies)
Is staying after school for: ______________________________________
Other: ______________________________________________________
__________________
_____________________________________
Date (required)
Parent/Guardian Signature (required)
A NOTE TO SCHOOL
Teacher: _____________
Grade: _______________
________________________
_____________________
(Student First)
(Student Last)
Is late today because: _______________________
Has a _____________________appointment @ ___________ and will or
will not return. (indicate which applies)
Is going home with ___________________________via car line or walking
dismiss out front or back exit. (indicate which applies)
Is staying after school for: ______________________________________
Other: ______________________________________________________
__________________
_____________________________________
Date (required)
Parent/Guardian Signature (required)

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