School  Note

Child's Name ______________________________      Date ______________
Teacher _____________________________

      ______  Absent                    My child was absent on _________________
                                                   due to________________________________

      ______  Late                         My child is late arriving at school due to
                                                    ____________________________________

      ______  Early Dismissal       My child need to be dismissed at __________
                                                    for the following reason:  ________________
                                                    ____________________________________

      ______  Permission              After school my child has permission to go
                                                    home with____________________________
                                                     ____________________________________

      ______  Comments                 ___________________________________
                                                      ___________________________________

___________________________________________    Date _____________
                   
Signature of Parent/Guardian
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