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Student Absence Form
Please complete this form if your child will not be in attendance at school.
If parent would like to speak to the school nurse, please call the office at 916-259-1688 and we will get you in contact with the nurse.
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* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Current Grade Level
*
TK
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
Required
Teacher's Name
*
Your answer
Is this a full day absence or a late arrival?
*
Full day absence
Late arrival
Date of Absence(s)
*
Your answer
Reason for Absence
*
Illness (Answer questions below)
Injury
Medical Appointment (Please provide Dr's Note)
Funeral
Out of Town
Menstrual Cramps
Tested Positive for COVID-19
Contact with COVID-19 positive - symptomatic
Other:
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