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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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