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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
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Your answer
Current Grade Level
*
Your answer
First and Last Name of person filling out the form
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Your answer
Is this a full day absence or a late arrival?
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Full day absence
Late arrival
Date of Absence(s)
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Your answer
Reason for Absence
*
Injury
Menstrual Cramps
Doctor/Dentist Appointment (bring in a signed note for doctor's/dentist to excuse absence/tardy)
Illness (Answer questions below)
Funeral
Contact with a positive COVID-19
Tested Positive for COVID-19
Other:
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