Absentee Form

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Absentee Form
Student Information
Absence Dates
Name
Absence Start Date
Grade
Absence End Date
Section
Total Days Absent
Absence Reason
Guardian Information
Sick
Name
Medical Appointment *
Email
Family Emergency
Phone Number
Other (Please explain)
Comment
Guardian Signature
Print
*Medical Appointments require a doctor’s note to be submitted in addition to this form.
All excuses should be presented within three (3) school days or they will be recorded as
an “Unexcused Absence. ”

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