SELECT DATE OF ABSENCE, LATE ARRIVAL, OR EARLY RELEASE *
MM
/
DD
/
YYYY
FIRST NAME OF STUDENT *
Your answer
LAST NAME OF STUDENT *
Your answer
ATTENDANCE SELECTION *
Please check reason for absences. The MN Department of Health requires that schools report influenza-like illness symptoms as well as lab confirmed positive COVID-19 cases. Please check which illness symptoms your student is experiencing today. *
ADDITIONAL NOTES
Your answer
SELECT A TIME, IF YOUR STUDENT WILL BE ARRIVING LATE OR LEAVING SCHOOL EARLY?
Time
:
AM
PM
GRADE OF STUDENT *
PARENT OR GUARDIAN E-MAIL *
Your answer
A copy of your responses will be emailed to the address you provided.