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Absence Reporting Form
To report your child's absence, please use this form
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* Indicates required question
Email
*
Your email
Name of student
*
Your answer
Grade/ Teacher
*
Your answer
Date of absence:
*
MM
/
DD
/
YYYY
Absence reason
*
Illness
Doctor's appointment (please submit doctor's note upon return)
Vacation
Required
If related to illness, please specify what symptoms the student is experiencing
*
Fever > 100 F
New onset cough
Sore throat
Vomiting/ diarrhea
N/A - (not illness-related)
Tested Positive for COVID-19
Other (please state reason for absence below)
Other:
Required
Student must be fever free for > 24 hours without the use of fever-reducing medication, no vomiting/diarrhea for >24 hours, and cough must be improved in order to return to school. Please refer to the Student handbook for more details.
*
I acknowledge
N/A
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