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This form requires Javascript to be enabled for submission and authorization.
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Required
Plymouth Elementary School Tardy/Lateness Form
Student First Name
*
required
Student Last Name
*
required
Grade
*
required
Kindergarten
1
2
3
Teacher Name/Room Number
Mrs. DeLaRosa/Room 123
Mrs. Furness/Room 101
Mrs. Handis/Room 121
Mrs. Rodenbaugh (Keller)/Room 102
Mrs. Webster/Room 103
Mrs. Williams/Room 120
Mrs. Youells/Room 104
Teacher Name/Room Number
Mrs. Chubb/Room 206
Mrs. DiRenzo/Room 220
Mrs. Erwin/Room 204
Mrs. Kim/Room 221
Ms. Sagel/Room 203
Mrs. Weidamoyer/Room 207
Mrs. Wilson/Room 202
Teacher Name/Room Number
Mrs. Badmann/Room 214
Mrs. Diedel/Room 213
Mrs. Grimshaw/Room 209
Mrs. Hartel/Room 208
Mrs. Kelley/Room 210
Mrs. Klein/Room 211
Mrs. Kucher/Room 215
Teacher Name/Room Number
Mrs. Bolasky/Room 108
Mrs. Barone/Room 107
Mrs. Hendrickson/Room 113
Mrs. Lobos/Room 110
Mrs. Zawisza/Room 114
Ms. Porter/Room 106
Mrs. Harpel/Room 111
Mrs. Smith/Room 109
Date of Lateness
*
required
Arrival Time
*
required
Reason
*
required
Parent/Guardian Name
*
required
Parent/Guardian Phone
*
required
Parent/Guardian Email Address
*
required
NOTE: The parent/guardian email address may be checked against school records.
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