| Office notification of Student Absence/Early Dismissal |
| Student's Name: |
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Student's Grade: |
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| Type of Absence Requested: |
Absent
Late
Early Dismissal |
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| Date: |
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Reason for Absence:
(Please provide a reason for absence, late arrival or Early Dismissal, with times and dates where applicable) |
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| Send Schoolwork with: (Enter ECP or student name/grade) |
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| Enter your email address where School Office can contact you: |
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