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Date__________________________

Teacher________________________________

My Child______________________________________________________________ was absent on (please list all dates included in this absence) _______________________________________________________________ The reason for the absence was______________________________________________ _______________________________________________________________________ ________________________________________________________________________ I have attached a doctors note (or other documentation) Parent Signature_______________________________________________________

Date__________________________

Teacher________________________________

My Child______________________________________________________________ was absent on (please list all dates included in this absence) _______________________________________________________________ The reason for the absence was______________________________________________ _______________________________________________________________________ ________________________________________________________________________ I have attached a doctors note (or other documentation) Parent Signature_______________________________________________________


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