JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Report an Absence / Reportar una Ausencia
Great Western School
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Student Name / Nombre del Estudiante
*
Your answer
Your Name & Relationship to Student / Su Nombre y Parentesco con el Estudiante
*
Your answer
Date of Absence / Fecha de Ausencia
*
Your answer
Reason for Absence / Razón de la Ausencia
Choose
Doctor's Appointment / Cita con el Médico
Missed Bus or No Transportation / Bús Perdido o Sin Transporte
Headache / Dolor de Cabeza
Nausea or vomiting / Náusea o Vómito
Cough / Tos
Congestion or Runny nose / Congestión o Secreción Nasal
Diarrhea / Diarrea
Fever or Chills / Fiebre o Escalofríos
Sore Throat / Dolor de Garganta
Fatigue / La Fatiga o Cansancio
Body Aches / Dolor de Cuerpo
Other Reason (please specify in detail) / Otra Razón (por favor especifique en detalle)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Kings Canyon Unified School District.
Report Abuse
Forms
