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| Student's Campus of Attendance | Elementary (688 Grant Street) |
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| Student's Name | Dean Evans |
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| Student's Grade of Enrollment | 4th |
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| Teacher/Advisor | Wade/Conners - 4 |
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| Name of Parent/Caregiver Completing this Form | Amanda Evans |
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| Parent/Caregiver Phone | 4044088314 |
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| Parent/Caregiver Email | Email hidden; Javascript is required. |
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| Reason for absence/tardy/early checkout | Health related (doctor's appointment, mental health, illness other than listed below) |
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| Choose the notification | Full day absence |
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| Date of absence/tardy/early checkout | 08/14/2023 |
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Published : August 1, 2023