absence excuse form updated 3-7-18
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Absence Excuse Form
1.
Your name:
2.
Absent student's name
3.
Your relationship to the absent student:
Your relationship to the absent student:
Mother
Father
Legal guardian
Other, please specify
4.
Date of first absence:
If there is only one absence to report please skip to #9 after noting the date of the absence.
mm/dd/yyyy
5.
Date of additional absence:
mm/dd/yyyy
6.
Date of additional absence:
mm/dd/yyyy
7.
Being as specific as possible, explain the reason for the absence and/or other relevant information. Additionally, you may e-mail details to Ms. Christine Acquista at christine.acquista@newarkcsd.org.