Absence Request Form

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Employee Name *

First

Last

Email *

Date of Absence *

Which Location? *

Southlake
Keller
Coppell

Reason For Absence *

CLASS 1

Class 1 missed? *

Class 1 sub *

Class 1 time *

Class 2

Class 2 missed?

Class 2 sub

Class 2 time

Class 3

Class 3 missed?

Class 3 sub

Class 3 time

Class 4

Class 4 missed?

Class 4 sub

Class 4 time

Signature

Clear Signature

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Email *

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