Schoolport

Absence Form

1. Parent/Guardian Information

Your Name:

Phone:

Email:

2. Student Information

First Name:

Last Name:

Grade:

School:

3. Student Absence Information

Absence Date:

Expected Date of Return:

Reason for Absence:

4. Absence Comments

Comments:

I certify that the provided information is true. I give permission to the school to verify the provided above information. I understand that falsifying absence from a class is a violation of the "Policy J5: Student Discipline, Required Behavior and Expectations". I understand that student will be subjected to a disciplinary action in the event the above facts are found to be false.

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