Absence Reporting Form

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To report your child's absence, please use this form

Email *

Name of student *

Grade/ Teacher *

Date of absence: *

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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