Report an Absence

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Report an Absence Form

Learner First Name *

Learner Last Name *

Grade Level *

6

7

8

Type of Absence *

Full Day

Part of the Day

Reason *

Briefly explain reason for absence

Date of Absence *

Select Date

Parent/Guardian Full Name *

Parent or Guardian submitting form. NOTE: MUST BE STUDENT'S PARENT OR LEGAL GUARDIAN

Relationship *

Parent

Legal Guardian

Phone *

Email *

Leave this field empty if you're human:

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