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4701 Joaquin Way  
Sacramento, CA 95822  
(916) 277-6496  

Absence and Tardy Verification

Please use the form below to alert us of your child's absence or tardiness.

 
Select one:  Absence Verification
 Tardy Verification
 
Student Name:
Room #/Teacher:
Grade:
Date(s) Absent /Tardy:
Reason:
Illness, Doctor/Dentist Appointment
Death in Family
Out of Town/Vacation
Personal Business (legal, court, etc)
Other  
 
Comments:
(Optional)
 
Parent/Guardian Name:
Email Address:
Daytime Phone:
   
Untitled Document
 
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