Fontana J8 School District

1) Parent/Guardian Name:

2) Today's Date/Time

Today's Date/Time

3) Students Grade/Teacher

Students Grade/Teacher

4) Student's Name:

5) Reason for Absence:

6) If Medical Appointment, please include the date/time: (optional)

7) Upload Doctors Note (optional)

Max 10 files | 200 MB limit

8) If other, please indicate here: (optional)

9) Any other information you would like us to know: (optional)

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