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Ladera Elementary Absence Reporting

Complete this form to report your child's absence.

Parent / Guardian's Name*

Answer required for "Parent / Guardian's Name"

Student's Name*

Answer required for "Student's Name"

Student Grade*

Answer required for "Student Grade"

Student ID

Answer required for "Student ID"

Absence Start Date*

Answer required for "Absence Start Date"

Absence End Date

only for multiple day absences

Answer required for "Absence End Date"

Teacher

Answer required for "Teacher"

Reason for Absence*

Answer required for "Reason for Absence"

Doctor's note

Answer required for "Doctor's note"

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