Report Your Child's Absence

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Please answer the questions below. If you are reporting more than one child in your family, please list your other children in the comments box. If your student will be gone more than one day, please add that to the comments.

Child's First Name *

Child's Last Name *

Parent Name *

Absence Date *

YYYY

Absence Reason *

Vacation

Appointment

Fever (Student must be fever free for 24 hours before returning without fever reducing med)

Vomiting (must be free of vomiting for 24 hours without antiemetic drugs, before returning to school. If related to stomach virus such as Norovirus it is 48hours))

Diarrhea (Student must be free of diarrhea for 48 hours without antidiarrheal medication)

Other

Comments

Student's Homeroom Teacher *

0 Bensen

0 Jones

0 Wolf

1 Bauer

1 Finnerty

1 Lopez

2 Cundy

2 Johnson

2 Martinez

3 Bernstein

3 Eggemeyer

3 Emmons

4 Chapel

4 Schneepp

4 Thomas

5 Boatright

5 Mooney

5 Severson

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