ST. Theresa School
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Absence, Late Arrival or Early Dismissal Note
Absence, Late Arrival or Early Dismissal Note
Please complete the form below. Required fields marked *
Student Name
*
Answer Required
Type of Absence
*
Answer Required
All day absence
Late arrival
Early dismissal
Partial absence (leaving school after start time, but returning before end time)
Date(s) of absence (if only part of day, please indicate time)
*
Answer Required
Home Room Teacher
*
Answer Required
Home Room #
Answer Required
Reason for absence (please check ALL that apply)
*
If NONE apply, check "other" and include reason
Answer Required
runny nose
nasal congestion
cough
sore throat
fever
body aches
stomach ache
vomiting
diarrhea
headache
Other:
If student is being picked up early from school, please advise of the time the student should be at the front office
Answer Required
If student is being picked up early, will the student be returning to class?
Answer Required
Confirmation Email
Confirmation Email
Email Required
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