Absence
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Absence
1.
Student Information - Please fill out one form for each student.
*
Date
Parent/Guardian First & Last Name
Student First & Last Name
Homebase Teacher Name
2.
Absence Reason
*
Illness
Doctor/Dental Appointment (please provide Dr. note)
Vacation (2 weeks prior notification required)
Funeral
Other, please specify
3.
Homework Request
*
Please send homework to the office
Please send homework home with another student
Other student's name
Other student's homebase teacher
Homework:
--Please Select--
None
Yes
No
--Please Select--
None
Yes
No