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* 1. First and Last Name 

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* 2. Reason for MIA

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* 3. Date of MIA

Date

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* 4. Will you be absent or tardy?

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* 5. I understand that I will be missing important instruction. I will take the initiative to learn what I have missed before next practice and on my own time. I may have to sit out during a game and/or run laps as a consequence. Miss Gray or Miss Hardy will be notified by myself and/or my parent(s) only. I understand that if this form is not completed at least 3 days prior to missing a practice or performance I will receive 1 demerit. 

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