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LaCoste Elementary Absence Reporting

Complete this form to report your child's absence.

Parent / Guardian's Name*

Answer Required

Student's Name*

Answer Required

Student Grade*

Answer Required

Student ID

Answer Required

Absence Start Date*

Answer Required

Absence End Date

only for multiple day absences

Answer Required

Teacher

Answer Required

Reason for Absence*

Answer Required

Doctor's note

Answer Required

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