RJ Steinhauer Absence form

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RJ Steinhauer Absence form

Please fill out form for all students that will be absent on January 3.

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* Indicates required question

Email *

Your email

Student Name *

Your answer

Grade level: *

5th

6th

Reason for absence *

Covid 19 Positive

Quarantining from exposure outside of the home

Quarantining from an exposure in the immediate household

Covid-19 symptoms

Other:

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