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I am reporting my student for being: *
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Please note that fraudulently filling out this form will result in a Level 2 Referral for lying to a staff member. This may result in out of school suspension and loss of privileges (parking, attendance at extra-curricular events, etc.). * *
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Reason for Absence(s) or Tardiness: *
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I understand this is a legal representation of my signature.
Clear
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