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Mercer Area School District

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Report Absence

Report Absence Form

Required

Please complete this form to report the absence of your child from school. If the student is going on a trip, you MUST ALSO COMPLETE A TRIP FORM PRIOR to the absence.

Student's First Name required

First Name

Student's Last Name required

Last Name

Graderequired

Reasonrequired

If "other" please state reason

First Date of Absencerequired

Must contain a date in M/D/YYYY format

Additional Date of Absence

Must contain a date in M/D/YYYY format

Additional Date of Absence

Must contain a date in M/D/YYYY format

Additional Date of Absence

Must contain a date in M/D/YYYY format

Additional Date of Absence

Must contain a date in M/D/YYYY format

Parent Full Namerequired

Parent Email Addressrequired

Would you like to make a homework request? (Must be absent 2 or more days.)required

Yes

No

If yes, how would you like to receive the homework?

Pick up in guidance after 2:45 or send home with another student (please include student's name)

Email Address