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Notice of Absence
Please utilize this form to report absences to school to ensure confidentiality. Results of the form will only will available to the administration.
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* Indicates required question
Email
*
Your email
Child's Last Name
*
Your answer
Child's First Name
*
Your answer
Name of Person Submitting Notice
*
Your answer
Phone Number of person submitting notice
*
Your answer
Grade Level
*
Choose
K
1
2
3
4
5
6
7
8
9
10
11
12
Reason for Absence
*
COVID-19 Positive
Exposure to COVID-19 Case from Home
Experiencing COVID-19 Symptoms (fever, Persistent Cough, Trouble Breathing, Etc.)
Other
If you chose "Other" from above, please explain:
Your answer
If COVID-19 positive OR exposure to COVD-19, please provide date.
Your answer
Comments
Your answer
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