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Absentee Form

indicates a required answer

Please fill out this form if you are unable to attend a co-op day or event.
1. *

Name:
2. *

Date of the co-op day or event that will be missed?
3. 

Names of other family members that will also be absent?
4. *

Are you a teacher, helper, or volunteer?

 (1 required)
Teacher Classroom Helper
Volunteer Other
5. *

What time blocks do you participate?

 (1 required)
9a - 9:55a 10a - 10:55a
11a - 11:55a Lunch
12:45p - 1:40p 1:45p - 2:40p
2:45p - 3:40p Other
6. *

If you work with someone else(IE: teacher, helper, or another volunteer), have you informed them already of your absence?
Yes No
7. 

*If you answered yes to the previous question, who did you inform?
8. 

Is there anything else that we need to be made aware of, or information you wish us to pass along to someone for you?
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