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Please complete this form and click DONE to submit the form.
Student Information - Please fill out one form for each student.
Name & Homebase
Enter no more than 3 responses
First & Last Name
Homebase Teacher Name
Reason for Absence
Doctor/Dental Appointment Please provide Dr. Note
Vacation - 1 Week Prior Notification Required
Other, please specify
Please send homework to the office
Please send homework home with another student
Other student's name
Other student's homebse teacher