Pashley Elementary Absentee Reporting
This form is to be completed only by the student's legal parent/guardian.  This form is in place of calling-in an absent/late student, and will be used as an absence excuse note for the nurse.
This form is NOT to be used for student pick-ups.  Thank you for your cooperation.
Please note: Pashley School administration reserves the right to contact you directly to verify the legitimacy of this form.  

**The information you share in this form is confidential and shared only with the office staff and nurse.**
If any COVID-19 symptoms are present, testing is still recommended:

Symptoms include:
- Fever (100* or higher) or chills
- Cough
- Shortness of breath or difficulty breathing
- Fatigue
- Muscle or body aches
- Headache
- New Loss of taste or smell
- Sore throat
- Congestion or runny nose
- Nausea or vomiting
- Diarrhea

Please contact Mrs. Reynolds JoReynolds@bhbl.org or 518-399-9141 x84507
 
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Email *
Enter the Date your child will be Absent or Late.  Click the Calendar to select date
 *
MM
/
DD
/
YYYY
Student's LAST name *
Student's FIRST name *
Student's Teacher/Grade *
Absent/late arrival/long term absence *
Long-Term Absence:
Last day your child will be absent:
MM
/
DD
/
YYYY
Reason for Absence/late arrival: *
Select all symptoms present if your child is out sick:
Comments:
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