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Absent, Tardy & Early Dismissal Form
Date Absent, Tardy or Dismissed Early
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Student Name (s):
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My child(ren) will be:
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Absent
Tardy
Leaving Early (indicate time):
Leaving Early (indicate time):
Notes/Special Instructions:
Please notify the following teachers.
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3 year old class
4 year old class
Preschool - PK
Kindergarten-Mrs. Skotzke
Kindergarten-Mrs. Biro
1st Grade-Mrs. Love
1st Grade-Ms. Agostino
2nd Grade-Mrs. Montague
2nd Grade -Miss Reardon
3rd Grade-Mrs. Coates
3rd Grade-Mrs. Prince
4th Grade-Mrs. Tartamella
4th Grade-Mrs. Lukacs
4th Grade-Mrs. Scharf
5th Grade-Mrs. Petryszyn
5th Grade-Mrs. Niksa
6th Grade
7th Grade
8th Grade
Parent Name:
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E-mail Address:
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