Student's Legal First Name:
Student's Legal Last Name:
Classroom Teacher's Last Name:
EXACT Date of Absence: Please only report absences for today or the immediate next school day.
(example: 02/01/2008)
Detailed Reason for Absence:(Note: Please do not use this form to make homework requests. Please contact the teacher directly. Thank you.)
Parent Email Address:
Please identify two phone numbers that the main office could use to reach you to verify this absence, if needed:
Confirmation Telephone Number (1) :
Confirmation Telephone Number (2) :
(Note: Please do not use this form to make homework requests. Please contact the teacher directly. Thank you.)
Upon submission of this form, you will see a confirmation page that the absence was accepted.
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