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Absentee Notice Form
If your child must miss school, either a full day or partial day, please let us know by filling out the form below.
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* Indicates required question
Child First and Last Name
*
Your answer
Parent/Guardian First and Last Name
*
Your answer
Email
*
Your answer
Classroom(s)
*
Parent Infant: Spruce
Toddler: Tulip
Early Childhood: Birch
Early Childhood: Willow
Early Childhood: Oak
Early Childhood: Catalpa
Elementary I: Hickory
Elementary I-II: Sassafras
Early Childhood Aftercare
Elementary After School Program
Required
Date of Absence
*
MM
/
DD
/
YYYY
Time
:
AM
PM
Reason for absence
*
Scheduled Appointment
Sick (complete Symptoms of Illness section below)
Vacation/Travelling
Other:
Symptoms of illness
Complete this section only if child is ill.
fever (over 100.4)
vomiting
runny nose
cough
diarrhea
ear pain
headache
lethargy
conjunctivitis (pink eye)
head lice
Other:
Additional comments:
Your answer
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