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Student...........................................Grade............. |
Student...........................................Grade............. |
Daytime Phone...................................................... |
Daytime Phone...................................................... |
Absence Date........................................................ |
Absence Date........................................................ |
Tardy Date............................................................ |
Tardy Date............................................................ |
Early Dismissal Date....................Time............... |
Early Dismissal Date....................Time............... |
Reason................................................................... |
Reason................................................................... |
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Parent Signature |
Parent Signature |
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Student...........................................Grade............. |
Student...........................................Grade............. |
Daytime Phone...................................................... |
Daytime Phone...................................................... |
Absence Date........................................................ |
Absence Date........................................................ |
Tardy Date............................................................ |
Tardy Date............................................................ |
Early Dismissal Date....................Time............... |
Early Dismissal Date....................Time............... |
Reason................................................................... |
Reason................................................................... |
............................................................................... |
............................................................................... |
............................................................................... |
............................................................................... |
Parent Signature |
Parent Signature |
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Student...........................................Grade............. |
Student...........................................Grade............. |
Daytime Phone...................................................... |
Daytime Phone...................................................... |
Absence Date........................................................ |
Absence Date........................................................ |
Tardy
Date............................................................ |
Tardy
Date............................................................ |
Early Dismissal
Date....................Time............... |
Early Dismissal
Date....................Time............... |
Reason................................................................... |
Reason................................................................... |
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............................................................................... |
............................................................................... |
Parent
Signature |
Parent
Signature |