Pre-K and Lincoln Orens School of Absence Form
Student Information
Student First Name
*
Student Last Name
*
Grade
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Select One
5th Grade
6th Grade
7th Grade
8th Grade
Pre-Kindergarten
Parent Information
Parent / Guardian First Name
*
Parent / Guardian Last Name
*
Email Address
*
Phone Number
Absence Detail
Reason Why
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Absence From Date
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Absence End Date
*
Authorization
Parent or Legal Guardian conformation
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By checking this box, I certify that I am the Parent or Legal Guardian of the student named above and that all the information provided is true and correct to the best of my knowledge.
Please verify that you are human
*
Submit
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