PVES Reporting Child's Absence
PVES Reporting Child's Absence
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Student Name
Student Name
*
First
Last
Student 6 Digit Identification Number
Grade
*
PK
SBC
K
1st
2nd
3rd
4th
5th
Please select grade level
Teacher Last Name
Parent/Guardian Name
Parent/Guardian Name
*
First
Last
Phone
Phone
-
###
-
###
####
Parent Email
*
Start Date of Absence
Start Date of Absence
*
/
MM
/
DD
YYYY
End Date of Absence (NOT RETURN DATE)
End Date of Absence (NOT RETURN DATE)
*
/
MM
/
DD
YYYY
Reason
*
Reason
Illness
Injury
Religious holiday
Out of town
Prearranged Absence Request
Please provide details for illness and/or injury absences.
*
Upload Doctor's Note
Attach Files
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