Absence Report
Please fill out this form by 8:45 a.m. the day of a student absence. This form can be used up to 7-days prior to a planned absence. There is no need to contact the school about an absence if you fill out this form.
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Student Name *
Date of Absence or Planned Absence (list first day if multiple days – answer next question if multi-day absence) *
MM
/
DD
/
YYYY
If you already know that the student will be missing more than one day, please list the dates and describe the situation.
Primary Reason for Absence *
Will the student be coming to school later in the day? *
If the answer is "yes" or "maybe," approximately what time will they be arriving?
Covid-19 Testing
If your student is remaining home due to illness and either (a) has a fever of 100.4 degrees or higher or (b) is presenting at least two of the following symptoms, a negative Covid-19 test will be required to return to the school environment.

Covid-19 Symptom List (other than fever):

Chills
Cough
Shortness of breath or difficulty breathing
Fatigue
Muscle or body aches
Headache
New loss of taste or smell
Sore throat
Non-allergy Congestion or runny nose
Nausea or vomiting
Diarrhea
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