* Required

Student's Name*required

Student's Homeroom Teacher*required

Parent's Name*required

Parent's Phone*required

Parent's Email*required

Dates your student was absent*required

Please indicate in the following box the reason your child was absent:​​*

Medical and Dental Appointments (Please send doctors notes with student to school the day after appointment  Court Appearance  Death in the family  Observance of a religious holiday  Family emergency (must be approved by and administrator)  Other 

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