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Parent Name:
Parent Email:
Parent Phone:
Number of Children Absent: 12345678910
Child Name:
School: - select school - Milford High SchoolNinth Grade CommunitySuccess AcademyMilford Junior HighBoyd E Smith ElementaryMeadowview ElementaryMcCormick ElementaryMulberry ElementaryPattison ElementarySeipelt ElementaryMilford Preschool
First Day of Absence:
Last Day of Absence:
Reason for Absence: - select reason for absence - Approved VacationCollege Day Court AppearanceDeath of a RelativeDoctor/Dentist/Therapist AppointmentFamily Emergency/EventHospitalizationJob ShadowingJuvenile DetentionPersonal IllnessReligious HolidayWeather-Related
Grade Level:
Student ID Number (optional):
Additional Details:
