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Middletown High School
Midd STATE
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Parent Information
Parent Name
*Parent Name
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Number of Children Absent
1
2
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4
5
Number of Children Absent
Child 1
Child's Name
*Child's Name
School
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Wildwood Elementary
Rosa Parks Elementary
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Mayfield Elementary
Creekview Elementary
Central Academy
Amanda Elementary
Highview 6th Grade Center
Middletown Middle School
Midd State
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First Day of Absence
clear
* First Day of Absence
Last Day of Absence
clear
* Last Day of Absence
Reason for Absence
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Student Illness
Family Illness
Death of Relative
Medical Appointment
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Observance of Religious Holiday
Educational Travel or College Visitation
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* Reason for Absence
Additional Details
Additional Details
Child 2
Child's Name
*Child's Name
School
Select School
Wildwood Elementary
Rosa Parks Elementary
Miller Ridge Elementary
Mayfield Elementary
Creekview Elementary
Central Academy
Amanda Elementary
Highview 6th Grade Center
Middletown Middle School
Midd State
Middletown High School
* School
First Day of Absence
clear
* First Day of Absence
Last Day of Absence
clear
* Last Day of Absence
Reason for Absence
Select Reason for Absence
Student Illness
Family Illness
Death of Relative
Medical Appointment
Emergency Circumstance
Observance of Religious Holiday
Educational Travel or College Visitation
Court Appearance
* Reason for Absence
Additional Details
Additional Details
Child 3
Child's Name
*Child's Name
School
Select School
Wildwood Elementary
Rosa Parks Elementary
Miller Ridge Elementary
Mayfield Elementary
Creekview Elementary
Central Academy
Amanda Elementary
Highview 6th Grade Center
Middletown Middle School
Midd State
Middletown High School
* School
First Day of Absence
clear
* First Day of Absence
Last Day of Absence
clear
* Last Day of Absence
Reason for Absence
Select Reason for Absence
Student Illness
Family Illness
Death of Relative
Medical Appointment
Emergency Circumstance
Observance of Religious Holiday
Educational Travel or College Visitation
Court Appearance
* Reason for Absence
Additional Details
Additional Details
Child 4
Child's Name
*Child's Name
School
Select School
Wildwood Elementary
Rosa Parks Elementary
Miller Ridge Elementary
Mayfield Elementary
Creekview Elementary
Central Academy
Amanda Elementary
Highview 6th Grade Center
Middletown Middle School
Midd State
Middletown High School
* School
First Day of Absence
clear
* First Day of Absence
Last Day of Absence
clear
* Last Day of Absence
Reason for Absence
Select Reason for Absence
Student Illness
Family Illness
Death of Relative
Medical Appointment
Emergency Circumstance
Observance of Religious Holiday
Educational Travel or College Visitation
Court Appearance
* Reason for Absence
Additional Details
Additional Details
Child 5
Child's Name
*Child's Name
School
Select School
Wildwood Elementary
Rosa Parks Elementary
Miller Ridge Elementary
Mayfield Elementary
Creekview Elementary
Central Academy
Amanda Elementary
Highview 6th Grade Center
Middletown Middle School
Midd State
Middletown High School
* School
First Day of Absence
clear
* First Day of Absence
Last Day of Absence
clear
* Last Day of Absence
Reason for Absence
Select Reason for Absence
Student Illness
Family Illness
Death of Relative
Medical Appointment
Emergency Circumstance
Observance of Religious Holiday
Educational Travel or College Visitation
Court Appearance
* Reason for Absence
Additional Details
Additional Details
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